Evaluation Form
Canine Evaluation
Owner name
Owner Phone Number
Please enter a valid phone number.
Dog's name:
Dog's breed:
Dog's age:
Dog's sex/ spayed or neutered:
Behavior chart:
Poor
Fair
Good
Very Good
Outstanding
Unknown
Socialization
With other dogs
With humans
With children
Environments
Response to commands
Recall/offleash
General manners
Does your dog have any known aggression?
Does your dog have separation anxiety?
Yes
No
Unsure
Rate your dogs socialization from 1 to 10:
Please Select
1
2
3
4
5
6
7
8
9
10
1 being poor, 10 being excellent
Has your dog had any previous training? If so, what was it?
What are your main concerns with training?
Behavioral trainer notes:
Signature
Evaluator name:
First Name
Last Name
Date
-
Month
-
Day
Year
Date
Time
Hour Minutes
AM
PM
AM/PM Option
Continue
Continue
Should be Empty: