New Client Consultation Form
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Format: (000) 000-0000.
E-mail
example@example.com
Dog's Name
Dog's Age, DOB
Breed/Mix/Unknown
Weight
Adoption agency/ Rescue/ Breeder
How long have you had your dog?
Include adoption date/first day home if possible
How many additional animals are in your household? (Feel free to include name, age, and breed or type!)
How many people are in your household?
How many people in your household are under the age of 18?
Do you have guests over frequently? If so, how many on average?
How much time do you spend with your dog during an average day?
How much time does your dog spend unattended at home?
Does your dog attend daycare/boarding? If so, how often? And where?
How long does your dog rest/sleep during the day? (estimated are totally fine!)
Is your dog crate trained? If they are, do they like their crate?
What are activities your dog does regularly with you (walks, rides in the car, training classes, etc.)
Are you concerned about losing control of your dog when on leash?
Which of these activities does your dog regularly engage in…
Fetch
Playing tug (even if with undesirable items)
Digging
Shredding/Tearing
Chewing
Licking
Barking
Searching/sniffing
Asking for pets
Playing with other dog (s)
Itching/Scratching
Chasing Wildlife
Have you ever done training with your dog/a previous pet before?
Yes
No
If so, what did your training entail and with who?
What are your short term goals with your dog?
What are your long term goals with your dog?
Why did you decide now was the time to reach out regarding training?
If experiencing behavior change, when did you first notice the change in behavior? (If not, feel free to ignore this question).
Do you use a marker word or release word with your dog?
Yes, both.
Marker word only.
Release word only.
Unsure
If you do you use a marker word and/or release word, please include what words you use below. (If you're unsure, no worries! We'll talk about what these are when we catch up.)
Is your dog social with other dogs?
Yes
No
It depends.
Is "Yes", please include details on their social experience. (e.g. do they go to daycare or dog parks, do they have favorite playmates or play styles?) What behaviors do you usually see?
If "No" or "It Depends", please include details below. What behaviors do you usually see?
Has your dog ever bitten a person?
Is your dog generally social with people?
Yes
No
It depends.
If "No" or "It Depends", please include details below. What behaviors do you usually see when they are uncomfortable?
Is your dog up to date on their shots/vaccinations?
Who is your dog's veterinarian?
Where is your dog's veterinarian located?
Is your dog on any medications/supplements? If so please list below, including what they are for.
Does your dog have any know allergies?
Does your dog have any additional medical conditions/concerns that are not listed above?
Is your dog sensitive to rain or thunderstorms? If yes, is it harder to work with them on inclement weather days?
Are there any other details you would like to share in regards to their upcoming consultation?
How did you hear about us?
Please Select
Search Engine
Instagram/Social Media
Referral
Other
If a referral or other, please include any details below...
Please confirm that all the information above is complete and truthful to the best of your ability by signing your name below.
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