Support & 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.Email is generally preferred for detailed communication; please note any communication preferences or needs

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

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?

What would you most like support with right now?Select any that apply

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

Household / daily-life challenges

Human-dog communication

adoption guidance or rehoming guidance

other

Tell me a little more about what is bringing you hereWhat are you currently noticing, hoping to change, or wanting to better understand?

Are there any current safety concerns, bite/contact history, or situations where you have concerns about your ability to safely manage your dog?

Yes

Unsure/prefer to discuss

I understand that a paid consultation is required before support begins, and that I will complete a more detailed intake after booking and before the consultation* This field is required.

YESNO

I have reviewed Rossella’s Pawesome Care’s approach and understand that support is virtual-first and individualized, with a holistic, force-free, Fear Free, and nervous-system-informed approach that goes beyond traditional training* This field is required.

YESNO

Support & Training Pre Intake Form