Training & Pre Intake Form

Name* This field is required.Please feel free to add pronouns!

First Name

Last Name

Email* This field is required.

example@example.com

Address* This field is required.

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Preferred Contact?* This field is required.Primary & detailed information will be sent via email

Text

Pet Name* This field is required.

Species* This field is required.

Breed* This field is required.

Age* This field is required.

Sex/Spayed/Neutered* This field is required.

Spayed

Neutered

Intact

Health & Care* This field is required.

Medical Conditions / Medications

Allergies

Other petsPlease list any relevant information about another pet here, if applicable

Where did your dog come from? (Breeder, rescue, rehome, found, etc.)* This field is required.

How old where they when you got them (estimate is okay)* This field is required.

Anything known about their early background or history?

Are there any ways we can best support you during training sessions? This could include accessibility needs, communication preferences, or anything else important for you to participate comfortably

Is there anything about your own well-being, stress, or personal challenges that I should be mindful of to support you during training?

How often do you or would like to practice training exercises at home?* This field is required.It is okay if this may fluctuate - a general idea is helpful for me to know

Select Your Training Experience* This field is required.Please review our two training options and their investment details on our website. You can select the option you’d like to start with - sessions are flexible and can be adjusted as your training journey progresses

Chrysalis Circle

Sellaluna Collective

What time of day do you generally prefer to schedule sessions?* This field is required.Select any that applies

Early afternoon

Late afternoon

Early evening

What days would you generally prefer to schedule sessions? When do you prefer to begin?Most training sessions focus on working directly with your dog. Your presence is not required for these sessions unless previously discussed. Between sessions, we’ll provide exercises and guidance for you to practice at home, so your involvement is flexible and can fit your schedule

What goals or challenges would like support with right now?Select as many as you'd like :)

leash skills

confidence in new environments

Reactivity or big feelings around dogs/people/wildlife

Settling and relaxation

Recall or focus exercises

building communication and training skills

fear/anxiety in certain situations

Cooperative care (handling, grooming or vet visit support)

resource guarding support

seperation anxiety

adjusting to a new home or routine

puppy training

socializing/desensitization

multi-dog or other pet dynamics

impulse control

Other

What training support have you tried? Have you or do you work with any other professionals?* This field is required.

Tell me more about situations you'd like support with * This field is required.When you first noticed this behaviour or challenge Situations where it tends to happen (people, dogs, environments, noises, handling, etc.) Any patterns or triggers you’ve noticed Whether it has changed recently (more frequent, more intense, new situations) How often it happens

What motivates your dogs the most?* This field is required.Select any that apply

treats

toys

praise

pets

other

What cue words or markers do you use for reinforcement* This field is required.Select any that apply

yes

good

clicker

other

What are some things you are proud of?* This field is required.This can you be things you or your dog do, or have learned or do well together etc

Has your dog had any negative or stresful experiences with dogs, people, wildlife or environments?* This field is required.Feel free to share a few details or examples A couple of sentences is plenty!

Has your pet ever shown behaviours such as growling, snapping, or biting toward people and/or animals?* This field is required.If yes, please describe the situation and how it is being managed (I fully respect and support all forms of natural dog communication. This question helps me identify situations where extra caution or a referral to a behavior professional might be needed, and ensures that my liability coverage is appropriate for the level of support your dog may require)

Does your dog use a muzzle or are you working or wanting to work on muzzle training?* This field is required.

Are there situations where you feel concerned about safety for your dog or others?* This field is required.

Does your dog experience big feelings in certain situations? * This field is required.Fearful, anxious, very excited etc. What situations?

How do your dog generally respond to new people, other dogs, new environments or busy places? * This field is required.

How does your dog do/feel when left alone? * This field is required.

Daily Routine & walks* This field is required.Describe your dog’s usual day. You can include walks (how often, where, behaviour on leash, or type of equipment used) and any activities that help them get exercise or enrichment. Short notes or bullet points are fine

Alone Time & Rest * This field is required.How does your dog spend time when alone, or when you’re busy? Do they settle independently? Do they use a crate, bed, pen, or other safe space, and how do they feel about it?

House Rules & Boundaries* This field is required.Are there any household or yard rules, boundaries, or management strategies that help your dog feel safe or comfortable? (Gates, furniture access, safe spaces, feeding routines, etc.)

If your dog crate and/or place trained?* This field is required.Please explain if not.

Who is primarily responsible for training & daily care?* This field is required.

Are there any challenges that make training or care difficult right now?* This field is required.time, consistency, environment, etc

Is there anything about your household, schedule, or personal needs that would help me work effectively with you and your dog?

Tell me a little about your home environment. This helps us understand your dog’s day-to-day context* This field is required.Other animals/people dynamics in the home, type of home, noise/activity level, yard access?

Do you understand that an assessment is required for support?* This field is required.

YESNO

Do you understand that sessions are scheduled within set time blocks, and start times may vary? Sessions may also change based on weather, route or your trainer's or dog's wellness needs* This field is required.

YESNO

Training & Pre Intake Form