Dog Assessment Booking Form

1
What is your name & surname?* This field is required.
First Name
Last Name
2
How did you hear about us?* This field is required.
Please Select
Please Select
Former Trainee
Current Trainee
Veterinarian
Google
Social Media
Groomer
Kennel
Other
3
Your contact number please?* This field is required.
Please enter a valid phone number.
4
Your email address please?* This field is required.
example@example.com
5
What Suburb/Area do you Live in?
Huge
Large
Normal
Small
Ok
Ok
6
Which Service Are you Interested In?
Please Select
Please Select
Obedience Training
Detection/Nose Work Training
K9 Dog Club in your area
Virtual Dog Training
K9 Good Citizenship
7
Would you like to book the session at a park close to your home? Or are you willing to come to where the Trainer is?
Park close to home
Come to Trainer
I am fine with either option
Not Applicable to me
8
What is your primary concern about your dog?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
9
Are you available Monday until Thursday between 09:00 – 15:00* This field is required.
Yes
No
10
Are you available Saturdays and Sundays?* This field is required.
Yes
No
11
What is your dog's name?* This field is required.
12
Which breed/cross/mix, etc., is your dog?* This field is required.
13
What is your dog's gender?* This field is required.
Please Select
Please Select
Female
Male
14
Has your dog been spayed/neutered?* This field is required.
Yes
No
15
Has your dog received all vaccinations?* This field is required.
Yes
No
16
Are you the first owner?* This field is required.
Yes
No
17
Where Did You Acquire Your Dog?* This field is required.
Please Select
Please Select
Breeder
Pet Shop
Breed Rescue
Shelter
SPCA
Other
18
How old is your dog now?* This field is required.
19
Is your dog food aggressive?* This field is required.
Yes
No
20
Is your dog dog-aggressive?* This field is required.
Yes
No
21
How many other dogs share the same space with this dog you need help with? * This field is required.
Huge
Large
Normal
Small
Ok
Ok
22
Is your dog aggressive towards strangers, or anyone that is not part of your household?* This field is required.
Yes
No
23
Can your dog walk on a leash?* This field is required.
Yes
No
24
Have you done any training with your dog before?* This field is required.
Yes
No
25
Can your dog perform basic obedience commands?* This field is required.
Yes
No
26
What would you like to achieve when doing training with us? * This field is required.
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Large
Normal
Small
Ok
Ok
27
Please verify that you are human* This field is required.
Should be Empty: