6 Month Dog Reactivity Program
A comprehensive, step by step approach to transforming fear-based behavior into reliable, manageable responses.
Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Email
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example@example.com
Dogs Name
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Breed
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Dogs DOB
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How and when did you require the dog?
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How long have you had the dog and how old was the dog when you acquired it?
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Please describe your dogs behavioral history/concerns in detail.
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What triggers are you aware of that cause your dog to have a reaction? (i.e. people, dogs, loud noises, fast movements etc) What does your dog do in these circumstances (bark, lunge, growl, bite, shutting down, freeze, tries to flee, redirects in frustration etc.)
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How often do these behaviors occur and on a scale from 1-10 how intense is said reaction?
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Where does behavior typically occur? (home, walks, vet, guests, etc)
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What equipment are you currently using? (harness, prong, martingale, flat buckle, e-collar, etc)
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Has your dog ever been conditioned to a muzzle?
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How much time per day can you realistically dedicate to training?
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How many people are in the household and are ALL household members willing to follow the training plan consistently?
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Is your dog currently under veterinary care for any medical or behavioral concerns? Is your dog on any medication?
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The Program requires weekly participation and consistent follow-through over several month. Are you prepared to commit to this level of training
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Please Select
YES
NO
Does your dog have a bite history (humans or dogs), if yes please explain below.
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Have you attended any previous training? If so when and where and how long?
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Does your dog attend any Day Cares or Dog Parks?
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What would success look like for you and your dog in 6 months?
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