Pre-Behaviour & Training Application

Pre-Behaviour & Training Application

Please complete this form with as much information as possible about your dog, their health, behaviour, training history, and current needs.
Owner Name

First NameLast Name
Owner address / location

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Telephone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email Address
example@example.com
Dog’s Name
Dog Age
Dog Breed
Dog Sex
Intact or Neutered/Spayed
How did you obtain your dog?
Aggression
Aggression Type
Type of Training Sought

Other
Previous Training Attended

Other
Details of Previous Training
Behaviour Ratings
How is your dog with strangers

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0 is No concern, 10 is Severe concern
How is your dog on the beach

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0 is No concern, 10 is Severe concern
How is your dog in the woods

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0 is No concern, 10 is Severe concern
How is your dog in town

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0 is No concern, 10 is Severe concern
How is your dog in carparks

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10

0 is No concern, 10 is Severe concern
Has your dog a bite history with human or dog
Details of bite history
Is your dog muzzle trained
Typical walk duration
Exercise: daily type and duration
Vet Practice Name and Contact Details
Vet Name
Vet Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Current or Past Medical Conditions

Other
Details of Medical Conditions
Currently on Medication or Supplements

Other
Details of Medication or Supplements
Owner and Dog Information
Age at Neuter/Spay
Veterinary and Health Information
List Allergies
Health History

Other
Other Health Issues
Vet Visit Frequency
Details of Activity Restrictions
Up to Date with Vaccinations
Last Vaccination Date

MonthDayYear
Date
Regular Flea/Tick/Worm Treatment
Microchip
Training History and Current Support
Previous Training Methods Used

Other
Did Previous Training Achieve Your Goals?
If No, Why Not?
Commands/Cues Dog Already Knows
Dog Sports or Activities

Other
Activities or Methods You Do Not Wish to Use
Worked with Behaviourist/Trainer Before
Details of Previous Behaviourist/Trainer
Methods/Approaches Used by Previous Trainer
Currently Working with Another Trainer/Behaviourist
Details of Current Trainer/Behaviourist
Behaviour Concerns, Goals, and Management
Main Training Goals or Behavioural Concerns
Aggression

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0 is No concern, 10 is Severe concern
Type of Training Looking For

Other
Current Obedience Level
Current Equipment Used

Other
Daily Time Available for Training/Behaviour Work
Additional Information on Health, Behaviour, or Training Needs
Open to Management Strategies at Home
Willing to Commit to Daily Training and Behaviour Modification
How You Currently Manage Unwanted Behaviours
Believed Primary Cause of Dog’s Behaviour
What Would Success Look Like at End of Training
Timeframe to Achieve Goals
History of Escaping from Home or Garden
Details of Escapes and Measures Taken
Biggest Current Challenge with Your Dog
Training Goals or Specific Concerns
Final Comments
Behaviour Rating Around Visitors in the Home

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0 is No concern, 10 is Severe concern
Behaviour Rating On Walks (On-lead)

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0 is No concern, 10 is Severe concern
Behaviour Rating Around Other Dogs

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0 is No concern, 10 is Severe concern
Behaviour Rating at Vet or Groomer

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0 is No concern, 10 is Severe concern
Behaviour Rating When Left Alone

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0 is No concern, 10 is Severe concern
Should be Empty:

Pre-Behaviour & Training Application

Behaviour Ratings

Owner and Dog Information

Veterinary and Health Information

Training History and Current Support

Behaviour Concerns, Goals, and Management