Pup 2 Professional – Initial Family Enquiry 🐾✨
Please fill out this form to help us understand your family and support needs. Have details about your child, dog, and goals ready to share.
Parent / Carer Details
Parent / Carer Full Name
*
First Name
Last Name
Best Email Address
*
example@example.com
Best Phone Number
Please enter a valid phone number.
Format: 00000-000000.
How would you prefer me to contact you?
*
Email
Text
WhatsApp
Phone Call
About Your Child / Young Person
Child / Young Person’s First Name
*
Child / Young Person’s Age
*
Please Select
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18+
Does your child identify as neurodivergent, disabled, or needing extra support?
*
Yes
No
Awaiting assessment / diagnosis
Prefer not to say
What would you love support with most right now?
Emotional regulation
Confidence
Anxiety
Going out in public
Sleep / settling
Routine
Safety
Meltdowns / overwhelm
School support
Friendship / connection
Building independence
Confidence around dogs
Future support / assistance dog pathway
Other
Anything important you’d like me to know about your child or family?
Dog / Puppy Details
Do you already have a dog or puppy?
*
Yes
No not yet
We are still looking
If yes, tell me a little about your dog / puppy
What stage are you hoping for support with?
*
Choosing the right puppy / dog
Starting with a puppy
Foundation training
Family support and bonding
Future support / assistance dog pathway
Unsure, we need guidance
Goals
What would success look like for your family in the next 6–12 months?
Anything else you’d like me to know before I contact you?
Consent
Send My Enquiry
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