Behaviour Pre-Consultation Form
Please ensure this is submitted at least 72 hours prior to our consultation
Owner's Details
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone number
Please enter a valid phone number.
Back
Next
Dog's Details
Dog's name
Dog's DOB or age
Sex
Intact Male
Neutered Male
Intact Female
Spayed Female
Medical history, when was your dogs last check up? Are there any medical conditions your dog is currently being treated for or has been treated for in the past?
Please also include any medications your dog is currently on. Don't forget to ask your vet to fill out the vet referral form.
How and why was your dog acquired?
Back
Next
Home Environment
Names and ages of all people in the home along with any other relevant information.
Who will be the primary trainer?
Names, ages, species, weight, breed etc of any non-human animals in the home.
Is your household busy or calm?
Please could you describe the type of home you live in and the surrounding area, please include information about your garden, do you have a fence is it fully secure etc.
Back
Next
Routine
Please explain your dogs daily routine, including sleep patterns.
What is your dog fed and how?
Do you use a dog walker or daycare?
Back
Next
Previous Training
Have you worked with a trainer or behaviourist before? If so, what did you work on and are you still working with them? What training methods did you use during your sessions with them?
What cues does your dog already understand and how well does your dog know those behaviours?
E.g. Sit, Down, Stand, Let's Go, Paws Up, Spin, Twist
Has your dog been muzzle trained?
Yes
No
If your dog has been muzzle trained, is your dog comfortable wearing the muzzle? How did you train them to wear the muzzle?
Back
Next
Behavioural History
Please describe in detail the behaviour issues you are seeking help with.
When did you first notice these behaviour issues?
Please list the behaviours in the order you would like to work on them.
The first one the list should be of highest priority to you going down the list to the of the lowest priority
In terms of the behaviour problems you are looking for help with what have you worked on so far and how successful has that been?
Please give information about your dog's bite history including puppy play biting.
Would you like to add any additional information?
Back
Next
Goals & Expectations
What are your primary goals for this behaviour consultation?
What would a successful outcome look like for you and your dog?
Submit
Should be Empty: