General Interest Form
Dog Training Services
Owner Information
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dog Information
Dog's Name
Breed
Age
Sex
Male
Female
Is your dog spayed/neutered?
Yes
No
Training Goals
What are your primary goals for training?
Tell me what you'd like to work on—e.g. basic obedience, loose leash walking, recall, behavioral concerns, etc.
What skills would you like your dog to learn or improve?
Sit / Down / Stay (basic positions and duration work)
Loose Leash Walking (polite walking without pulling)
Reliable Recall (coming when called despite distractions)
Polite Greetings (not jumping on people or guests)
Impulse Control (waiting at doors, leaving items alone)
Focus / Engagement (paying attention to you in distracting environments)
Crate Training (comfortably staying in crate)
Socialization (confidence around new dogs, people, places)
Trick Training (shake, roll over, spin)
Confidence Building (for shy, nervous, or timid dogs)
Other
Do you have specific behavioral concerns?
Yes
No
Please select any behavioral concerns you have
Leash Reactivity (barking/lunging at dogs, people, cars)
Fear or Anxiety (strangers, new environments, loud noises)
Aggression (toward people, dogs, or other animals)
Resource Guarding (food, toys, spaces, people)
Excessive Barking
Separation Anxiety
Overexcitement/Jumping (difficulty calming down)
Pulling on Leash
Destructive Behavior (chewing, digging, destroying objects)
Housebreaking Issues
Impulse Control (door bolting, counter surfing)
Other
Previous Training Experience
Yes
No
Describe previous training experience:
Scheduling Preferences
Preferred Lesson Frequency
Weekly
Every Other Week
Preferred Times
Morning
Afternoon
Evening
Preferred Days
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
Additional Details
Anything Else I Should Know?
Share any quirks, fears, or household dynamics that may be helpful to know before we begin
Are you a Victor Vet Care Client?
Yes
No
How did you hear about us?
Please Select
Reffered by Vet
Facebook
Instagram
Google Search
Referred by a friend
Other
Submit
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