Preliminary Separation Distress Questions
Full Name
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First Name
Last Name
E-mail
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Confirm Email
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Phone Number
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Area Code
Phone Number
Your Location (City, State)
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Dog's name / Gender / Age
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Breed or mix?
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Where dog was acquired (breeder, shelter, other)
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How long has your dog been in this household?
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What is your dog currently doing that has you concerned?
How often is your dog being left alone? Please give number of hours (2-4 for ex.)
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Can you adjust your schedules so that your dog is not left alone for awhile during training?
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Have you done any training to address your dog's separation distress? Please explain.
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For how long would you like to be able to leave your dog (in the future)?
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How did you hear of us?
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Have you contacted your vet about your dog's separation distress?
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