Dog Training Intake Form
Please provide essential information about your dog to help us tailor a training program that best suits your needs.
Owner Information
Owner's Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email Address
*
example@example.com
Dog's Basic Details
Dog's Name
*
Breed
*
Age
*
E.g., 11 months
Gender:
*
E.g., (Male/Female/Neutered Male/Spayed Female)
Weight (in lbs or kg)
*
Is your dog crate trained?
*
Yes
No
Current Routine
*
Health History
Is your dog up to date on vaccinations? Please E-mail vaccine records to info@primalevolutionk9.com
*
Yes
No
Does your dog have any current or past medical conditions?
*
No known conditions
Allergies
Arthritis
Seizures
Digestive issues
Other
Is your dog currently taking any medications?
*
No
Yes (please specify)
Behavioral Issues
What behavioral issues does your dog exhibit?
Aggression (towards people)
Aggression (towards animals)
Separation anxiety
Excessive barking
Destructive chewing
Jumping on people
Pulling on leash
House soiling
Fearfulness
Other
Please describe any situations or triggers that cause these behaviors.
Training Goals
What are your training goals for your dog?
*
Basic obedience (sit, stay, come, etc.)
Leash manners
Socialization
Reduce aggression
Curb barking
House training
Other
Please list any additional Training goals below
E.g., Having a successful/peaceful visit to a local coffee shop
Please share any additional information or concerns about your dog.
*
What tools do you currently use?
*
Flat Collar
Harness
Gentle Leader (head halti)
Slip Lead
Choke Chain
Prong Collar
E-Collar* include brand below
Other
List any other tools you use below:
E.g., flexi, long line, backpack, bark collar, etc.
Submit Intake Form
Should be Empty: