Dog Training with Golda's Happy Paws

Name*

First NameLast Name

Phone Number*

Address*

Street Address

Street Address Line 2

City

Zip Code

Email Address*

example@example.com

How did you find Golda's Happy Paws?*

Name, Breed, Age & Sex. How long have you had your dog?*

Why are you seeking Dog Training? (check all that apply)*

I have a new puppy/dog and want to get them up to speedMy dog is showing some problem behaviors and issuesI want my dog to have better mannersI want my dog to learn some cool tricks!Other

Check all that apply to your dog, and give details.*

Please describe:

Veterinary Clinic*

Past relevant medical or health conditions or important medical history (medication, injury, etc)? If yes, please describe...

Does your dog have any allergies or food restrictions? If yes please describe.*

Where did you get your dog from? Include name of organization or breeder if known.

How old was your dog when you got him/her?

What do you know about your dog’s background?

Do you live in

a housean apartmentOther

Is there any conflict in the home regarding your dog or their behavior/training?

What do you feed your dog? Please be specific (Brand, variety, canned, dried, raw, homecooked, etc.)

How food motivated is your dog? 1 - 10 (1 being "finicky", 10 being "eats anything and everything")

Please describe any treat routine your dog has. (Frequency, what kind of treat, etc.)

Play: What types of play do you engage in with your dog? Please describe.*

Exercise: What types of exercise does your dog regularly get?*

Leash Walks: Please describe: How often? Where? How does your dog act on leash?

Walking gear: Please describe: What kind of leash, collar or harness do you use now?*

Muzzle: Does your dog use a muzzle for any reason?

How long is your dog left alone on an average day?

Is your dog fully housetrained? How many hours do they go between potty breaks?*

Where is your dog kept when you are not home?*

Do you use a crate? Is your dog happy/content in a crate? If no, please describe history of exposure.

Does your dog use a crate?

YesNoIn the past, but not currentlyOther

Is your dog allowed on furniture?

YesWith permissionNoOther

Do you have any special rules and boundaries in your home, yard, etc.?

Where does your dog sleep at night? And during daytime naps?

How does your dog react when familiar people come to your home? Please describe: (Bark, jump, mouth, calm, etc.)

How does your dog react when UNfamiliar people come to your home? Please describe: (Bark, jump, mouth, calm, etc.)

How would you describe your dog's sociability with other dogs?

dog social ("Fido is super friendly!")dog tolerant ("Fido doesnt like other dogs, he keeps his distance")dog selective ("Fido gets along with some dogs but not with others")dog aggressive ("Fido lets other dogs know to stay away")leash reactive ("Fido barks/lunges at other dogs while on leash")I don't allow my dog to be around other dogsOther

Does your dog regularly attend “Dog Parks”? If yes, please describe.*

How much time per day are you able to dedicate to training? (in 10-minute increments. ie: total 1 hour)

Has your dog participated in any professional training before? If yes, please describe.*

What are some training goals that you would like to work towards?

Are there any tricks/commands that your dog knows already? If so please list*

How do you let your dog know when they have done something “good”?*

What are some of your dog’s favourite rewards? Be specific. *

How do you let your dog know when they have done something “bad”?*

What is the main reason/problem that you are inquiring about?

Background: When did you first notice tendencies of this problem behaviour?

Has there been a recent change in the behaviour? (More frequent? More intense? Different circumstances?)

How often does it occur?

Can you anticipate when it is likely to happen? (When, where, who is present, trigger, etc.)

Why do you think your dog is doing this?

What have you done so far to address this problem? With what effect?

What would you consider an acceptable goal/outcome of a training program?

Please describe several recent incidents in as much detail as possible.

Policies & Acknowledgements

Golda’s Happy Paws will endeavor to create as safe an environment as possible for the care and training of my animal(s) and will offer only sound, safe, and responsible training and instruction. However, I recognize that Golda’s Happy Paws is not responsible for any unintentional errors, omissions, or incorrect assertions. I understand that the recommendation of any other product or service is not a guarantee of my satisfaction with that product or service. Further, I am and will remain responsible for the actions of my animal(s) at all times and I hereby agree to indemnify and hold harmless Golda’s Happy Paws of any and all claims of injury, expense, costs, or damages caused by the actions of my animal(s) while under Golda’s Happy Paws care, instruction or control and under my own care as a result of following training instructions. I have been told by Golda’s Happy Paws and understand the inherent risks of owning an animal(s) , including but not limited to the risk of animal bites to myself or others. Emergency Care: In the event that I cannot be reached, Golda’s Happy Paws has my permission to react to a situation as she deems appropriate, and or necessary for the health and safety of my animal(s), herself, or others, and that I am responsible for compensating Golda’s Happy Paws for any monetary charges made for items and or services including but not limited to vet bills, pet food, or human medical attention. Cancellation Policy: We appreciate cancellation notice as far in advance as possible. To avoid being charged, a 24-hour notice is required. Cancellations within the 24-hour window result in “last minute cancellation fee”, according to current policies. Exceptions will be addressed on a case by case basis. By checking the box below, I agree to and accept the above policies.

I agree to the above acknowledgment*

I agree

Signature*

OWNER INFORMATION

DOG INFORMATION

HEALTH AND VETERINARY INFORMATION

BACKGROUND INFORMATION

HOUSEHOLD

DIET AND FEEDING

ROUTINES

ROUTINES

ROUTINES

ROUTINES

SOCIABILITY

TRAINING GOALS and HISTORY

For clients with behavioral cases-