Client Questionnaire
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred method of communication:
Phone call
Text
Email
Which of our services are you interested in?
*
In-Person Consultation - $145
Private Training Package - $375-$1150
Virtual Session - $100
Welcome Home Virtual - $79
Other
What days are you usually available for training?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What times are you available for training?
Dog's Name
*
Dog's Age
*
Dog's Breed
*
Dog's Approximate Weight
*
Sex
*
Male
Female
Are they spayed or neutered?
*
Yes
No
I'm not sure
When did you get the dog?
Where did you get the dog?
What would you like to work on with your dog?
Tell me about your dog's *good* qualities.
What does your dog do when strangers enter the home?
*
Explain any aggressive or potentially dangerous behaviors the dog has show. If none, please say NONE.
*
List any dietary restrictions or allergies.
*
List any medications the dog is on, if any. Include the dose and how long they have been on them.
What type of training has the dog already received, if any? Please include methods used.
What type of walking / training gear is currently being used?
Leash
Treats
Collar / martingale
Front attaching harness
Back attaching harness
Head halter
Prong collar
Slip lead / choke chain
E-collar (under any settings)
Citronella
Other
Is the walking / training gear you're using effective with your dog?
Yes
Kind of
No
I'm not sure
Are you familiar with positive reinforcement methodologies? If so, share your thoughts if you wish.
How did you hear about us?
Client Referral
Social Media
Web Search
Professional Referral
Print Ad
Other
Attachment
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Please include any pictures or videos of your dog that you would like to show off. We never get tired of seeing them :)
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