Barks and Recreation LLC
Behavioral Consultation Intake Form
Please complete one form for up to two dogs. If you have more than two dogs, submit an additional form.
Client Information
Owner Full Name:
First Name
Last Name
Phone Number:
Format: (000) 000-0000.
Email Address:
example@example.com
Home Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Who lives in the home? (Adults, children with ages, other pets)
Dog 1 Information
Dog 1 Name:
Age:
Breed or Mix:
Sex:
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Spayed/Neutered:
How long have you had this dog?
Where did you acquire this dog?
Dog 1 - Daily Routine
Feeding Schedule:
Exercise (type & frequency):
Hours alone per day:
Sleeping location:
Dog 1 - Training History
Formal training completed (if any):
Tools currently used:
Obedience level:
Dog 1 - Behavioral Concerns
Primary behavior concerns:
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When does the behavior typically occur?
Has this dog shown any aggression or guarding behaviors? If yes, describe:
Most serious incident (if applicable):
Dog 2 Information (If Applicable)
Dog 2 Name:
Age:
Breed or Mix:
Sex:
Spayed/Neutered:
How long have you had this dog?
Where did you acquire this dog?
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Dog 2 - Training & Behavior
Formal training completed (if any):
Primary behavior concerns:
Has this dog shown aggression or guarding behaviors? If yes, describe:
Household Dynamics
Are the dogs currently living together?
If not, how often do they interact?
Are food, toys, or high-value items accessible in shared spaces?
Have the dogs ever had a physical altercation? If yes, how many times and what triggered it?
Consultation Goals
What is your goal for this consultation?
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