Ember Leash | Training Intake

Client name

First NameLast Name

Email

example@example.com

Phone

Please enter a valid phone number.Format: (000) 000-0000.

City and ZIP code

What is your preferred way for me to contact you? I may use your preferred method to contact you about your inquiry and appointments. Message and data rates may apply to text messages.

What service are you interested in?

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Our self-paced courses help you build skills with your dog at your own pace. Explore the available programs and find the right fit for your needs.

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Private Training Rates
Single private session: $150
3-session package: $420 ($140 per session)
5-session package: $675 ($135 per session)
10-session Extended Coaching: $1,300 ($130 per session), includes complimentary access to Ember Leash Basics (a $99 value)
Virtual consultation: $120
Travel fees may apply for appointments more than 10 miles from my home base.

Extended Coaching combines five initial in-person sessions with five flexible follow-up sessions for longer-term support.

What days and times are you typically available?

Dog’s name

Age or approximate age

Breed or best guess

When did you get your dog?

Is your dog spayed or neutered?

Sex

Where did you get your dog?

What equipment do you currently use when walking your dog?

Who lives with your dog? Include children and other animals.

What would you like help with?

Relevant health conditions, pain, recent changes, medications/doses, or food sensitivities? Write None or Unknown if appropriate.

Has your dog bitten a person or another animal?

Brief bite history and safety precautions for our first appointment. If applicable, include who was bitten, injuries or broken skin, roughly when it happened, and precautions that help keep everyone safe. Otherwise write None. Please do not recreate an incident.

What does your dog do when an unfamiliar visitor enters your home?

What should I know before arriving or interacting with your dog? Door/gate arrangements, safe meeting setup, handling sensitivities or escape risks. Write None if no precautions.

How did you hear about Ember Leash Dog Training?

Referral name or other source (optional)

Are you familiar with force-free, reward-based dog training? Force-free training focuses on teaching and reinforcing desired behaviors, using thoughtful management, and supporting the dog's physical and emotional well-being.

Which best describes the help you're seeking?

Tell me what you're noticing or what you'd like help understanding.

You can describe your situation in your own words. Exploring the categories below is optional.

Tell me what you're noticing or what you'd like help understanding.

What do you love about your dog, and what rewards do they enjoy?

Which concerns would you like to tell me more about?

Reactivity: What does this behavior look like? Please describe what your dog actually does.

Reactivity: When did you first notice this behavior, and how has it changed over time?

Reactivity: What seems to help, and what seems to make the behavior worse?

Reactivity: What triggers the reaction, and about how close or under what circumstances does it start?

Reactivity: Can your dog take food around the trigger, and how long does your dog take to settle afterward?

Aggression or bite incidents: What does this behavior look like? Please describe what your dog actually does.

Aggression or bite incidents: When did you first notice this behavior, and how has it changed over time?

Aggression or bite incidents: What seems to help, and what seems to make the behavior worse?

Aggression or bite incidents: Expand on the most relevant incident already mentioned in the safety section. What happened immediately before, during, and after?

Aggression or bite incidents: Who or what was involved, was anyone injured, and what warning signs did you notice?

Resource guarding: What does this behavior look like? Please describe what your dog actually does.

Resource guarding: When did you first notice this behavior, and how has it changed over time?

Resource guarding: What seems to help, and what seems to make the behavior worse?

Resource guarding: Which objects, locations, animals, or people are involved?

Resource guarding: What does your dog do when someone approaches or interacts with the resource?

Separation distress: What does this behavior look like? Please describe what your dog actually does.

Separation distress: When did you first notice this behavior, and how has it changed over time?

Separation distress: What seems to help, and what seems to make the behavior worse?

Separation distress: Where is your dog when alone, and how soon after departure does the behavior begin and how long does it continue?

Separation distress: Have you observed this through an existing camera recording? If so, what did you notice? No new recordings or deliberate distress are needed.

Fear or anxiety: What does this behavior look like? Please describe what your dog actually does.

Fear or anxiety: When did you first notice this behavior, and how has it changed over time?

Fear or anxiety: What seems to help, and what seems to make the behavior worse?

Fear or anxiety: Which situations, environments, or individuals are associated with the behavior?

Fear or anxiety: Where does your dog appear most comfortable?

Visitors in the home: What does this behavior look like? Please describe what your dog actually does.

Visitors in the home: When did you first notice this behavior, and how has it changed over time?

Visitors in the home: What seems to help, and what seems to make the behavior worse?

Visitors in the home: What does your dog do as visitors enter, move around, interact, and settle? Expand on your safety answer above.

Visitors in the home: What arrangements or management strategies have worked?

Dog-to-dog concerns: What does this behavior look like? Please describe what your dog actually does.

Would you like to share house-training concerns?

Dog-to-dog concerns: When did you first notice this behavior, and how has it changed over time?

Dog-to-dog concerns: What seems to help, and what seems to make the behavior worse?

Dog-to-dog concerns: Which dogs or situations create difficulty?

Dog-to-dog concerns: Describe a typical concerning interaction.

House training: What does this behavior look like? Please describe what your dog actually does.

House training: When did you first notice this behavior, and how has it changed over time?

House training: What seems to help, and what seems to make the behavior worse?

House training: What is your dog's current elimination routine, and what have you already tried?

House training: When and where do accidents or difficulties occur?

If you chose Basic, continue to Submit.

Previous training: Have you worked with a trainer or taken classes? What approaches were used?

Typical day: rest, activity, enrichment and time alone?

What have you tried, what helped, and what made things harder?

Anything else you'd like me to know?

Let's get to know you and your dog

Client and Dog Foundation

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Concern Details

Training History and Daily Life