Client Questionnaire
This will give me a better understanding of your dog’s behaviour. Please provide as much detail as possible so I can in return create the best plan for you and your furry friend.
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Dog’s Name
Breed
Age
Gender
Is your dog neutered/spayed?
Yes
No
Diet
Sleeping pattern/ where does the dog sleep?
Amount of daily exercise
General state of health
Describe the relationship between the dogs and family members.
Description of behaviour concerns
When did the behaviour start?
Any known triggers
How do you respond to the behaviour?
Have you tried behavioural modification in the past? If so please elaborate on any previous training and the results of this.
Are there any other pets in the household? If so how does he/she interact with them?
Can you set aside time throughout the week to practice training outside of sessions
Yes
No
How frequently would you like to have sessions?
Weekly
Fortnightly
Twice a week
Thank you for taking the time to fill out this questionnaire.
I will get in touch with you as soon as possible
Submit
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