Behavior Questionnaire

This information will guide our discussion during your in-home consultation, and will be used to help customize your training program.
Today's Date

MonthDayYear
Your Name

First NameLast Name
Spouse/Significant Other's Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Zip
Primary phone #

Area CodePhone Number
Can we text you at this number?
Email
example@example.com
How did you hear about Cathy's K9 Kids?
Dog's Name
Dog's Gender
Dog's age
Breed(s)
Have you owned this breed before?
Is this your first dog?
What age was your dog when you got him/her?
What training have you done so far with this dog?
How will your dog react to a stranger entering the house?
Excited? Shy? Fearful? Will jump on guest? (Etc.)
Please check all behaviors that you're struggling with

Other
Have any of the above behaviors become worse or more frequent? If yes which ones?
Are you interested in OFF-LEASH control?
List your top 3 behaviors you want to change

Add anything else you'd like me to know in the next box.
1
2
3
What would you like to do with your dog that you can't do now?
How is your daily life impacted by your dog's behavior?
When is the best time to call you?
Examples: Mon-Fri mornings; noon-5:00PM; between 5:00-7:00PM.
Should be Empty:

List your top 3 behaviors you want to change