Canine Consulting VT

Canine Consulting

Please allow plenty of time to complete.
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
How did you hear of Canine Consulting VT?*
Tell me your preferred pronouns:*
I understand Canine Consulting VT LLC will not use prongs, e-collars, water bottles, sound shakers, etc. Continued use of said tools may impede progress or exacerbate behavior issues in other areas. I will remove any prong collars or e-collars before sessions. I agree to use positive reinforcement, and any deviation from this may delay progress or cause behavioral regression.*

I agreeI agree and currently use tools, but will take them off prior to sessionsI agree, and am interested in moving away from tools with your support
I understand that Canine Consulting VT LLC might see concerning behaviors or pain indicators that could require medical clearance or a medication trial. I am at discretion to refuse this, but acknowledge that refusing this may delay any training or behavior progress.*

I agree
How long have you had your canine?*
Breed type or best guess? Include DNA results if applicable.*
Age of canine & weight? *
What rescue, breeder, shelter, etc., canine was acquired from?*
Please summarize any current canine concerns. (If you use tools, detail what they are and how you use them)*
Does anyone else provide care for your dog? (Daycare, dog walkers, roommates, extended family?) Please list all pets and people in your household, and those who come into regular contact with your dog. *
Check the option that most fits your mindset at the moment:*

I'm here out of curiosity, the concerns are not too serious.I would like to change the problem, but it's not too serious.The problem is serious, I would like to change it, but if it remains unchanged I will keep my dog.The problem is serious, I would like to change it, but if it remains unchanged I will need to rehome. I would love assistance with rehoming!The problem is very serious, and if I cannot rehome safely I will consider humane euthanasia.The problem is serious or somewhat serious, I would appreciate guidance and I'm keeping my options open.
Do you know about canine body language? If not, don't worry, we'll review this. Dogs communicate with their bodies, so it's vital we learn early signaling.*

Somewhat familiar with the basics.Nope, we'll go over it.Yes, I know dog body language!
Behavior modification requires us to learn dog body language - dogs are always speaking and signaling - to us, and to other dogs! Please select one or both links to brush up on canine body language before our session.

Canine body language breakdowns

Canine communication signals
Medical History

A snapshot of medical history can often give insight into behavior. Let's take a quick dive!

Medical History
Name of Vet Clinic
Date of last visit, & reason for visit:
Have you had bloodwork done on your dog?

Yes, yearlyOnly when recommended by a veterinarianNo
Up to date on Rabies vaccination?*

YesNo, but I will get on this asap. (Please note most insurances require this for liability purposes, and Vermont requires canines to be vaccinated.)
Does your canine have a history of injury, allergies, diet issues, or illness? Please list any medications your canine has been on, or is currently on. (Behavior medications, heartworm preventative, medication for fireworks, etc.)*
Any issues going up stairs or getting into a vehicle?*
Please list any supplements your canine takes (Fish oil, probiotics, joint supplements, etc.)
Confinement and Separation

Note: Moderate to severe Separation Anxiety cases are referred out.

Confinement and separation
Is your dog crate trained, anxious when left alone, has accidents, or destructive?
How many hours is your canine left alone typically?
Do you provide enrichment or treats when you leave? Do you leave the TV or music playing?
Do you use a pet cam at home?
Food, Training, & Routines

Let's dive into your pup's daily life!

Food, Training, & Routines - answer thoroughly - no skipping ;)
Type of food fed brand/type*
Any food dislikes or likes? preferences/dislikes *
Any restrictions? Please note I'll be using/bringing training treats allergies, etc*
Any issues eating? social eater, refuses food when stressed, etc *
What sort of food bowl does your dog eat out of?   Slow feeder vs regular bowl*
Describe an average week and weekend - include exercise time, sleep patterns, daily environment, daycare times, etc. *
If you go to a dog park, describe any issues that occur there.*
Describe your immediate living environment.*

Apartment or CondoRuralSingle Family HomeUrbanSuburban
Do you have a fenced yard?*

YesNoYes, but shared
List any prior trainers, training methods used, and for how long. The more detail the better! Feel free to detail what you did like or didn't feel worked.*
Do you have other animals in the home and do they have behavioral issues with people/other animals? (Cats, other dogs, etc.) If yes, describe in detail. *
How do you respond when your dog does something you don't like? (i.e. household discipline. Include all verbal and physical interactions.)*
How do you respond when your dog does something you do like? (Verbal praise, physical touch, treats, or nothing at all.)*
What is your favorite and least favorite quirks about your dog? What makes you smile, and what drives you up the wall? What are your goals for your pup?
Now what is your dog's favorite and least favorite items, activities, etc? What gives them joy in this world?
Bite History

Skip if this does not apply to you. Note that in cases of significant bite history/aggression, the first session may be over zoom or outside the home/dog free.

Please read and sign Liability Waiver
I will endeavor to create as safe an environment as possible for myself, my dog, my family members, or third parties.

I hereby accept and assume any and all risks that would customarily and ordinarily occur by my participation in dog handling, dog movement, and other training activities.

I hereby agree to indemnify and hold harmless Canine Consulting VT LLC (Jenny Rossi) of any and all claims of injury, expense, costs, or damages related to our training sessions. I have disclosed any and all aggressive behavior my dog has exibited, or any aggressive behavior that has been reported to me.

I further understand that training requires the learning of skills by both human and animals. I hereby agree to adhere to our training plan and not use aversive tools.

I understand that behavior is constantly evolving and these skills will require continued practice. My dog’s behavior is ultimately my responsibility. Canine Consulting VT LLC (Jenny Rossi) will work to help me achieve my training goals but makes no guarantees of my dog’s performance as a result of training.

Canine Consulting VT LLC (Jenny Rossi) may ask permission to film or photograph training progress during sessions. I grant permission to Canine Consulting VT LLC to record or photograph our sessions, and publish them on social media platforms.
I release Canine Consulting VT LLC from all claims and liability related to use of said photographs, videos, likeness, and voice.
Full name(s) and date for waiver:*

You made it! Don't forget to list what service you'd like and any other notes.
I look forward to digging in with you! Anything else you want to note? PS: Before submitting this form, note what service you're interested in. *
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Canine Consulting

Medical History

Confinement and Separation

Food, Training, & Routines

Bite History

Liability Waiver