AAS Animal Background Questionnaire

Animal Background Questionnaire
Thank you for reaching out for some behavior help with your animal. I know you’re here because you want your animal to live their best life. I’m here to help you do that!

We meet virtually over Zoom at a time between 9:30am - 4pm EST, Monday - Friday, that works best for you and your animal. We may meet daily, weekly, biweekly, or at whatever interval would be best for your goals and our schedules. To get us started complete THREE EASY STEPS!
STEP 1: If you can please provide some background on you and your animal, that would be great. Please answer the questions below with as much detail as you'd like. Once you send this back, we will follow up to discuss the information before we begin collaborating together.

STEP 2: Please fill out the SERVICE AGREEMENT (below).

STEP 3: Purchase your package and begin achieving your goals! You can purchase your package at the bottom of the Service Agreement.
Name*

First NameLast Name
Name of Facility
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
example@example.com
Phone Number*
ANIMAL TYPE*
dog, cat, giraffe, bird, parrot, hawk...
SPECIES/BREED*
hound, cockatoo, conure, Red-tailed Hawk...
ANIMAL(S) NAME*
ANIMAL(S) AGE*
ANIMAL(S) SEX (DNA sexed? Y/N)*
HISTORY*
How did they come to be with you? FOR PARROTS, were they hand or parent raised?
A Day In the Life of your animal(s): DIET*
What is the diet you provide your animal? What do you feed and when during the day?
FOR RAPTORS: Please share the bird(s) average diet for the past 30 days. Also, is the bird tethered or free-lofted? Does the bird wear equipment? Permanent or removable?
In grams. Ex: Bird weighs ~1200g. Diet is ~30g mouse, 30g quail, 30g rabbit....
A Day In the Life of your animal(s): ACTIVITIES*
What activities does your animal do during the day? How is enrichment encoorporated?
A Day In the Life of your animal(s): TREATS*
What is your experience with offering treats? What treats does your animal enjoy? When does your animal get treats?
A Day In the Life of your animal(s): TRAINING/TEACHING/LEARNING*
What is your experience with animal training?
GOALS: What behavior challenges do you want to overcome? *
GOALS: What other things do you want to learn? *
How did you learn about Cassie Malina and Awesome Animal Solutions?*
We look forward to learning more about you and your animal(s) and to collaborating with you soon. ~Cassie

Cassie Malina CPBT-KA, CPBC * Awesome Animal Solutions * AwesomeAnimalSolutions-CassieMalina.com Facebook.com/AwesomeAnimalSolutions * AwesomeAnimalSolutions@gmail.com
STEP 2: Hit SUBMIT and you will be directed to fill out the AAS Service Agreement

https://form.jotform.com/233546137925158
Should be Empty:

Animal Background Questionnaire

Thank you for reaching out for some behavior help with your animal. I know you’re here because you want your animal to live their best life. I’m here to help you do that!