K Canine Coaching Request Form
Please fill out separate forms for each dog if you have multiple
New or existing client?
*
New client
Existing client
Owner Information
Name
*
First Name
Last Name
Phone number
*
Email
*
Address
*
Dog Information
Dog name
*
Breed(s)
*
D.O.B of dog (approx if unsure)
*
Weight of dog in kg (approx if unsure)
*
Gender of the dog
*
Neutered Male
Intact Male
Spayed Female
Intact Female
Is the dog in good and healthy condition?
*
Yes
No
Is the dog updated on his / her vaccinations?
*
Yes
No
Is the dog microchipped?
*
Yes
No
Does the dog have any allergies or medical conditions?
*
Yes
No
If yes, please type more information here
How did you hear about us?
*
Please Select
Facebook
Instagram
Online Ads
Google Search
Referred by a friend
Leaflet / Flyer
Other
Back
Next
What service(s) are you looking for? (Multi-answer available)
*
1-2-1 Training session
1-2-1 Training walk
Group walk
Drop in
Please tell me your main reasons for wanting the service(s) you've selected
*
How long has the dog been in your care? (Roughly is fine)
*
Where is the dog from?
*
Breeder
UK Rescue
Abroad Rescue
Rehome
Other
Is the dog friendly with other dogs?
*
Yes
No
Selective
Is the dog friendly with people?
*
Yes
No
Selective
Does the dog have any bite history? (To either other dogs or people)
*
Yes (that's okay - this is what I'm here for!)
No
Has the dog had a previous trainer?
*
Yes
No
If yes, please tell me what methods were used. What do you think worked well, or didn't?
Is the dog food motivated?
*
Yes
No
Sometimes
Is the dog toy motivated?
*
Yes
No
Sometimes
What is a typical daily schedule for your dog? (Feeding, excersise, play, sleep etc.)
*
What type of food and what brand does your dog eat?
*
Is the dog happy with people entering the home?
*
Yes
No
Selective
Does the dog resource guard items from other DOGS? (Multi-answer available)
*
No
Yes - Food
Yes - Toys / Balls / Sticks
Yes - People
Yes - Other dogs
Yes - Crate / Vehicle space
Yes - Other (Add in "special instructions" at end of form)
Does the dog resource guard items from PEOPLE? (Multi-answer available)
*
No
Yes - Food
Yes - Toys / Balls / Sticks
Yes - People
Yes - Other dogs
Yes - Crate / Vehicle space
Yes - Other (Add in "special instructions" at end of form)
Does the dog have reliable recall when OFF lead?
*
Excellent
Fair
Poor
Great until there are squirrels to chase...
How is the dog ON a lead?
*
Loose lead
Fair
Exessive pulling
How does the dog travel?
*
No issues
Fair
Anxious traveller
Travel sick / poo
Please tell me what ideal days and times you'd like, and if you'd like regular sessions or ad-hoc sessions
*
Special instructions / anything more I should know?
Submit
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