Only Have Eyes For You: Enquiry Form
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
Post Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Your dog's name
*
Your dog's breed
*
Your dog's age
*
Neutered
*
Yes
No
Describe to me the biggest issue you are having on walks just now
*
Have you tried professional help for the problem(s) before?
*
Yes
No
If Yes, please describe...
If no, what have you previously tried to help solve the issue(s) yourself?
How long have you been dealing with the issue(s) for?
*
Back
Next
Has your dog ever growled, snapped at or bitten anyone for any reason?
*
Yes
No
If yes, can you describe what happened before, during and after the incident?
What medications is your dog currently taking or has taken in the past?
*
How does your dog respond to new people in the home?
*
How does your dog respond to people or dogs outside of the home?
*
Is your dog walked off lead?
*
Yes
No
Is your dog sensitive to noises either in the home or outside the home (including the garden)?
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Yes
No
If yes, what kind of noises?
What kind of games does your dog like to play in the home/out on walks?
Is your dog toy and/or food motivated on walks? If yes, which do they respond to best?
For the first two weeks of the course, are you able to walk your dog only in very quiet areas, where they will see few people or dogs, and those they do see will be at a distance?
Yes
No
Briefly describe how you plan to manage your dog’s walks during this period (locations, times of day, etc.).
*
What would you like to accomplish through training with me?
*
Is there anything else you think I should know about you or your dog?
*
Submit
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