1-1 Consult Enquiry Form

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Please enter a valid phone number.

Email*

example@example.com

Dog's Name*

Breed*

If unsure, please write mixed, and include if small/medium/large mixed breed

Age*

MaleFemale

SterilisedUnsterilised

How long have you had the dog?*

Where did you get the dog from?*

What is your previous experience with dogs (have you owned dogs before, and specifically this breed)?*

What food does your dog eat for meals (and how often)?*

Who feeds your dog?*

How? (Bowl or other?)*

What treats and extra food does your dog get, and in what situations?*

What kind of exercise does your dog get?*

How long/often?*

With who?*

Please list all people that live in the home and their ages*

Please list all pets that live in the home, and please include species/breed, age, gender and whether or not they are sterilised.*

How does your dog interact with each of the above?*

What access does your dog have of the house/yard?*

Where does your dog sleep?*

Where does your dog go to the toilet?*

Is your dog ever left at home alone?*

If so, how often and how long for typically?*

What are they left with to do when alone?*

How does your dog react to/interact with visitors in the home?*

Have you done any formal training classes? (and if so, where?)*

How often do you train at home/on walks/outings?*

Please list any behaviours your dog knows (e.g. sit, lay down etc.)*

What are your dog's favourite rewards? (e.g. treats, games, toys?)*

Does your dog have any known phobias or dislikes? (e.g. vacuum cleaner)*

How does your dog interact with other dogs and unknown people (and how often)?*

Is your dog protective over food/chews/toys etc.?*

Has your dog ever bitten another dog or human?*

Who is your dogs vet*

When was your dogs last checkup*

Any known medical history? (incidents, medications, etc.)*

What is the main issue you would like to address at the initial consult?*

When did this start?*

How often does this occur?*

Have you noticed anything that seems to make it worse?*

What have you done previously when it occurs?*

Time permitting, please list (in priority order) any other issues you would like to cover. (Please include as much relevant detail as possible, regarding when these issues started, how frequently they occur, and what has been done to address it previously.)*

Is there any other relevant information you would like to include?*

Please detail below your upcoming availability, including what days and what time of day that you are likely to be available for a session. Please note: if you have availability during the day on weekdays I will usually be able to book you in sooner. Time slots outside of 9-5 are available, they just tend to book out further in advance.

Your details

Your dog's details

Diet

Exercise

Household

Training History

Health

Consult Priorities