Rory O'Neill - Dog Behaviour Consultation

Date of Application
Full Name*

First NameLast Name
Partner's Name

First NameLast Name
Your Age*
How did you find Rory?*
Your Profession? Place of employment?
Please specify who, and from where your referral came from:
Your E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone*

Area CodePhone Number
Please list the names of others in your household, age and relationship to you:
Dog's Name*
Dog's Breed/Mix*
Dog's Age*
Age of your dog/puppy when adopted?
Dog is...*

MaleFemale
Is your dog spayed/neutered:

YesNo
Where did you get your pet from?
Where does your dog sleep at night?*
Where is your dog when you are NOT home?*
Where is your dog when you are home?*
Is your dog(s) crate trained? Please explain.
How often and what type of exercise does your dog receive?
Do you go to dog parks? How often? Please explain.
What is your playtime routine with your pets? How often?
Is your dog allowed on the couch?
Is your dog allowed on the bed?
How is your dog at doorways? Do you have any protocol?
Are there other animals in the household?*

Yes.No.
Please list other pets in household, age, species and any relevant information:
Behavioural Issues that apply to your dog:*

AggressionSocializationSeparation anxietyFearPhobiaHousehold mannersPulling on leashLeash AggressionComing when called (Recall)Resource guardingHouse trainingPost Traumatic StressPuppy Training & PreventionBarking, destructive & unruly behaviour
You indicated Aggression; please specify :*

Dog-DogDog-HumanDog-Other animalsFearfulnessDominanceLeashPrey DriveRed Zone - will attack and severely injure another dogRed Zone - will attack and injure a humanOther
Please briefly explain these behaviour problems/interest:*

0/300
Have you gone to dog training classes or previously met with a professional trainer or behaviorist?*

YesNo
Please explain and include names, dates, what you learned, and what you feel you did not receive:
Please explain what you would like to learn, what you would like demonstrated, during a consult with Rory:*
Are you a Rocky Mountain Animal Rescue Adopter?*

YesNo
Please attach 3 recent pictures of your dog, including at least one of both of you.

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Choose the package you would be MOST interested in:*

$200 - Phone Consult. 1 hour plus emails and photo/video review$100 Follow up phone consult.$75 2nd follow up phone consult. (45min-1 hour)$450 - In-Home/One-on-One Consult. (1.5-2 hours)$250 - Follow up in home/Dog park or other. (1 hour)$150 - 3rd follow up at dog park or leash lesson. (1 hour)$350 - Rescue Center Assessment & Training ** Not currently available$200 - Dog park or leash lesson-aggression/Fear/Recall (1.5 hours)$3000 - 1 Month Private Training. Socialization, training, fear, recall, manners, etc. Not currently available.
What are your days/hours of availability?*
Type a question
Please allow 2-4 days for a reply to this request. If a reply is not received within this timeframe, please feel free to follow-up with a message.

Rory O'Neill treats her client's and their dogs with utmost kindness, respect, safety, and precaution. Even though no emergencies have ever occured during all the years of consultations and lessons, Rory O'Neill does, however, work with mild to high aggression cases and unknown circumstances. Therefore, clients need to understand and agree to the following:

I, the pet owner, acknowledge that Rory O'Neill, or any volunteers or associates with Rory O'Neill or Rocky Mountain Animal Rescue, will not be held liable for any unforeseen circumstances or accidents that could potentially happen during consults either within my own home, a public place, or at Rocky Mountain Animal Rescue's facility. I agree to pay veterinarian or medical bills associated with my pet or persons in the event of injury.
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