Dog Training Questionnaire KW
Owner's Name
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First Name
Last Name
Primary Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Phone
*
Please enter a valid phone number.
Alternate Phone
Please enter a valid phone number.
Email Address
*
example@example.com
Please list ages of all humans currently residing in the home.
*
Please list all other species of animal residing in the home.
Are you comfortable with and capable of carrying out the physical tasks associated with these training sessions?
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Name of dog.
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Age of dog.
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Breed of dog.
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Gender of dog.
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Male
Female
Is the dog spayed or neutered?
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Yes
No
Has your dog received the following vaccines?
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DA2PP
Bordetella
Rabies
None of the above
When did they receive each of these vaccines?
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What Veterinary Clinic were these vaccines administered at?
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Please upload proof of vaccines.
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If proof of vaccines have not been uploaded to this questionnaire, proof will be emailed within 48 hours of my first training session.
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Yes
No
Does this dog currently have any medical concerns or conditions?
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Yes
No
If yes, please explain.
Has this dog had any medical concerns or conditions in the past?
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Yes
No
If yes, please explain.
Does this dog have any dietary restrictions/allergies?
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How long have you owned this dog?
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Where did you get this dog from?
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Has this dog received any previous training?
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Yes
No
If yes, what trainer did you use?
If yes, why did you involve a trainer?
If yes, how long were you involved with the trainer for?
If yes, when did you involve a trainer?
How does this dog react when meeting new people?
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How does this dog react when meeting other animals? Please specify for dogs, cats, and wildlife.
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What behaviour(s) does this dog do that you wish they didn't?
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When did you first notice these behaviours occurring?
Have there been any recent changes to the behaviour?
How often do these behaviours occur?
Are you able to anticipate when the behaviour is likely to occur?
Please describe several instances when these behaviours occurred. Please give as much information as possible.
Do you use any tools or items to help with training this dog? (Choke chain, prong, bark, e-collar, electric fencing, etc.)
*
What are you hoping to gain by attending these session?
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What times work best in regards to booking training sessions? (Weekends, evenings, mornings, etc.)
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How did you hear about this program?
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Facebook
Instagram
X
Our website
At our centre
At an event
Other
Other:
Contact me concerning upcoming Events and Fundraiser
*
Yes
No
I would like to receive a copy of your quarterly newsletter.
*
Yes
No
Submit
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