Private Training Inquiry
OWNER INFORMATION
Name
*
First Name
Last Name
Primary Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about us?
*
Please share if you have any disability, health or physical issue we should be aware of that would affect your ability in training your dog.
DOG INFORMATION
If you are inquiring about more than one dog please complete an additional form.
Name
Reason for contacting us
New puppy, new dog, new rescue, general training, problem behavior, other, etc.
PRESENTING PROBLEM
What is the main reason/problem that you are inquiring about?
Background: When did you first notice tendencies of this problem behaviour?
Has there been a recent change in the behaviour? (More frequent? More intense? Different circumstances?)
How often does it occur?
Can you anticipate when it is likely to happen? (When, where, who is present, trigger, etc.)
What have you done so far to address this problem? With what effect?
What would you consider an acceptable goal/outcome of a training program?
Please describe several recent incidents in as much detail as possible.
OTHER BEHAVIOUR PROBLEMS
Check all that apply and are a concern to you and give details.
Anxiety
Aggression - People
Aggression - Dogs
Aggression - Other animals
Barking, vocalizing excessively
Chasing moving objects (bike, vehicle, etc.)
Chasing people or dogs
Counter Surfing
Demanding, attention seeking
Destructive (chewing, scratching, etc.)
Digging
Door dashing
Escaping (Fence jumping, etc.)
Fear
House soiling
Jumping up
Running off
Separation distress
Stealing food, objects
Unruly (Jumping, mouthing, etc.)
Other: humping, eating non food objects, compulsive behaviour...
Please describe...
HEALTH AND VETERINARY INFORMATION
Veterinary Clinic
Past relevant medical or health conditions or important medical history (allergies, medication, injury, etc)? If yes, please describe...
Have you specifically asked your Veterinarian about any of your dog’s training and behaviour concerns? If yes, what was their advice?
Please describe your dog’s behaviour at the veterinary office?
BACKGROUND INFORMATION
Where did you get your dog from? Include name of organization if known.
How old was your dog when you got him/her?
What do you know as fact about your dog’s background?
What are some of your reasons for choosing this particular dog?
HOUSEHOLD
Do you live in
a house
a condo
an apartment
other
Relevant changes or dynamics that may affect your dog:
Is there any conflict in the home regarding your dog’s behaviour and training?
DIET AND FEEDING
What do you feed your dog? (Brand, variety, canned, dried, raw, homecooked, etc.)
How food motivated is your dog? 1 - 10 (finicky ... voracious)
Please Select
1
2
3
4
5
6
7
8
9
10
Please describe your dog’s mealtime. (Where, when, how often, who feeds, special routine, etc.)
Does your dog guard their regular meal against humans? (growl, snap, etc.)
Please describe any treat routine your dog has. (Who, what kind of treat, etc.)
ROUTINES
Activities
Play: What types of play do you engage in with your dog? Please describe.
Exercise: What types of exercise does your dog regularly get?
Leash Walks: Please describe: How often? Where? How does your dog act on leash?
Walking gear: Please describe: What kind of leash, collar or harness do you use now?
Off leash time: Does your dog get off leash time? Please describe: Why or why not? Give any details.
Muzzle: Does your dog use a muzzle for any reason?
ROUTINES
Home Alone
How long is your dog left alone on an average day?
Where is your dog kept when you are not home?
What does your dog do when left home alone? Fine? Okay? Anxious/distressed?
What is your dog’s behaviour like when you leave home and return?
Is your dog content in a crate? If no, please describe history of exposure.
ROUTINES
Home Together
Day: What does your dog do when you are at home and not interacting with them?
Is your dog allowed on furniture?
Yes
No
With permission
Do you have any special rules and boundaries in your home, yard, etc.?
Where does your dog rest in the day when you are home?
Night: Where does your dog sleep at night?
Are they a sound sleeper or easily disturbed? Settle easily? Please describe.
Meal time: What does your dog do when you have your meals/snacks?
ROUTINES
Visitors
How does your dog react when familiar people come to your home? Please describe: (Bark, jump, mouth, calm, etc.)
How does your dog react when unfamiliar people come to your home? Please describe: (Bark, jump, mouth, calm, etc.)
ROUTINES
Vehicle Outings
Does your dog join you on car rides? Please describe: (How often? Where? How does your dog act? What type of vehicle? Where in the vehicle do they ride? etc.)
ROUTINES
Grooming and Handling
Which grooming tasks do you perform yourself? List: (Bathing, brushing, trimming, nail clipping, teeth cleaning, ear cleaning, none, other...)
How does your dog react? Please describe: (Calm, struggle, resist certain parts, bite, use a muzzle, etc.)
Does your dog go to a groomer?
ROUTINES
Bathroom Routine
Is your dog fully housetrained?
Does your dog urinate when excited/greeting/stressed, etc? Please describe.
TRAINING
What are some training goals that you would like to work towards?
What are some of your training successes? Tricks count ;)
What are some of your training challenges?
How do you let your dog know when they have done something “good”?
What are some of your dog’s favorite rewards? Be specific.
How do you let your dog know when they have done something “bad”?
Has your dog participated in any professional training before? If yes, please describe.
How was your experience and the results?
Is there anything else that you would like us to know about your situation or your dog?
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