Dog Training Classes: 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.
Format: 070-00000000.
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 new people outside of the home?
*
How does your dog respond to unfamiliar dogs outside of the home?
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How does your dog respond to children/bikes/joggers on walks?
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)?
*
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?
What are the behaviours you like BEST about your dog? Please list 5 things
*
What are the behaviours you like LEAST about your dog? Please list 5 things
*
What would you like to accomplish through training with me?
*
Is there anything else you think I should know about you or your dog?
*
Emergency contact details. This is in case anything happens to you and we need to contact someone. Please include their name, contact/phone number and their connection to you. (partner, relative, friend etc) *
Submit
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