Appointment Request Form
Let us know how we can help you!
Owner's name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
Postal / Zip Code
Email Address
example@example.com
Name of Dog
What age is your dog?
Breed (Type don't know if unsure)
Gender
Male
Female
Where did you get your dog?
Breeder
Rescue (from NGO)
Adopted from someone
Other
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Does your dog have any health issues or allergies?
Yes
No
What allergies does your dog have?
Is your dog vaccinated? If yes, when was the last vaccination?
Is your dog spayed or neutered?
Yes
No
Which vet do you bring your dog to?
What type of food do you give your dog?
Kibble
Canned dog food
Cooked food
Raw Food
What brand of dog food do you feed?
How many cups a day?
What do you include in your dog's meal?
How many times do you feed your dog per day?
Once a day
Twice a day
Three times a day
Four times a day
How do you exercise your dog daily?
How often do you exercise your dog per week?
Where does your dog sleep?
Outside the house
Inside the house
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Has your dog had any previous training?
Yes
No
If yes, what type of training and by whom? (Check all that apply)
Self-taught
Professional trainer
Group classes
Online courses
Other
Which company or dog trainer did you use?
How effective was the previous training?
What did you ask the trainer to train your dog on?
How important is each training goal to you? (Rate from 1 to 5, where 1 is least important and 5 is most important)
Rows
1
2
3
4
5
Basic obedience
Housebreaking/potty training
Leash training
Socialisation with other dogs/people
Behavior correction
Trick Training
Does your dog know any dog tricks/?
Yes
No
What dog trick/s does your dog know?
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How would you describe your dog's current behavior?
Very well-behaved
Generally well-behaved, with occasional issues
Somewhat difficult with frequent issues
Very difficult with constant issues
Please list any specific behavior issues you are currently facing with your dog:
(a) How does your dog react to the following situations? (check all that apply)
Rows
Friendly
Shy
Aggressive
Anxious
New people
Other dogs
Family Members
(b) How does your dog react to the following situations? (check all that apply)
Rows
Calm
Nervous
Aggressive
Anxious
Loud noises
(b) How does your dog react to the following situations? (check all that apply)
Rows
Calm
Nervous
Destructive
Anxious
Being alone
Is there any other information we should know about your dog or your household that may be relevant to the training process?
Do you have any concerns or questions about the training process?
Where did you hear or learn about us?
Website
Instagram
Facebook
Friend
Other
Where did you hear or learn about us?
Submit
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