Training Intake Form

Rise Dog Training Intake Form

Please fill out the form below to the best of your ability.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail
example@example.com
How did you hear about us?*
Please Specify*
What is your preferred availability for a consultation? (Select all that apply)

Weekday eveningsWeekday daytimeWeekendsAnytime
Emergency Contact (Name, Phone number) *
Does your emergency contact have permission to make medical decisions if you cannot be reached?*

YesNo
Dog's Name*
Dog's Age*
Dog's Breed*
Dog's Sex*

Spayed FemaleIntact FemaleNeutered MaleIntact Male
Where did you get your dog? (Breeders name, rescue name, etc)*
Any medical issues or allergies I should know about? (Sensitive skin, chicken allergy, recent surgery, etc.)*
How much light exercise does your dog get regularly? (Leash walks)*

1- 3 hours a week3-5 hours a week5-7 hours a week7+ hours a weekRarely do they get leash walks
How much vigorous exercise does your dog get regularly? (Off leash walks/runs, sports like agility)*

1-3 hours a week3-5 hours a week5-7 hours a week7+ hours a weekRarely do they get off leash walks/runs
Do you play with your dog? (Fetch, tug-of-war, wrestling, etc.)*

Yes, all the timeYes, sometimesRarelyNoMy dog doesn't play or doesn't like toys
Does your dog display any of the following behaviours? (Select all that apply)*

Growling, lunging or barking at dogsGrowling, lunging or barking at peopleBarking out the windowInability to settle in the housePulling on leashBarking excessively when left aloneJumping on peopleAnxious in the carResource guarding from peopleResource guarding from dogsRuns away/ doesn't respond to me if off leashNone of the aboveOther
What causes your dog stress?

CratesCar ridesRainNew environmentsBusy environmentsStrangersNew DogsLoud noisesThunderNone of the aboveOther
Has your dog ever bitten, snapped or growled at a person?*

YesNo
Has your dog ever bitten another dog?*

YesNo
Have you done previous training?*
Is your dog crate trained?*

YesNo
When do you use the crate? (Select all that apply)

At nightWhen we aren't homeDuring the day sometimes even if we are homeWe don't use it on a regular basis anymore
Do you take your dog off leash?*

YesNoYes, only in fenced areas
Where do you take your dog off leash?*

Fenced in dog parkOff leash dog friendly trails (Bruce pit, Conroy pit, etc.)Private fields/fenced in areasNone of the above
What goals do you have for your dog? (Select all that apply)*

Off leash recallSettle in new places/patiosWalk with a loose leashSettle in the house when guests come overStop reactivity to dogs and/or peopleTrust your dog around dogs and/or peopleOther
Have you previously or currently use any of the following tools with your dog? (Select all that apply)*

Prong collarEcollarBark collarInvisible FenceChoke collarNo pull harnessHalti/Gentle LeaderNot applicable
I am..*

Open to using recommended training tools such as ecollars or prong collars if they will help me reach my goals with my dog.Open to different tools, but I don't know what a prong collar or ecollar is.Completely against the use of prong collars and ecollars.
I am interested in...*

Private SessionsBoard and TrainWhatever is best to meet my goals
Is there anything more you want me to know?
Be as specific and detailed as you can - the more details the better.
Should be Empty:

Rise Dog Training Intake Form