Mobile Dog Training Form
I do NOT service some areas such as Satsuma, Saraland, Baldwin County, Dauphin Island, Downtown/Midtown, Wilmer, Chickasaw, or Eight Mile. If you are unsure I service your area, email to verify before filling out a form to mobiledogconsulting@gmail.com
Full Name
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First Name
Last Name
Phone Number
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-
Area Code
Phone Number
Do you receive texts to this number?
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Yes
No
E-mail
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What is the best way to contact you?
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Phone call
Email
Text
Facebook Messenger
Physical Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you hear about me?
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Dog 1
Dog's Name
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Breed or mix
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Where did you get your dog? Please include NAME of rescue, shelter or breeder if applicable.
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Why did you obtain this dog? (Companionship, watchdog, sport competition, playmate for current dog, etc)
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Dog's age:
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How long have you had your dog?
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If you got your dog as a puppy, how old was s/he when you brought him/her home?
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Is your dog spayed or neutered?
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Yes
No
Not Yet
Dog's sex:
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Male
Female
Dog's weight
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Coat color:
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Do you use a crate with this dog?
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Yes
No
We have one but do not use it.
Has your dog ever bitten a person?
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Yes
No
Did the injury require medical treatment?
Yes
No
Describe the severity of the injuries inflicted:
Please explain the circumstances of the bite/s:
Is your dog motivated by food/treats?
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Yes
Sometimes/Depends on the food/treat
No
Is your dog motivated by toys?
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Yes
Sometimes/Depends on the toy
No
How do you exercise your dog?
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What equipment do you use to walk your dog?
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Regular, buckle collar
Martingale/Limited slip collar
Choke chain
Prong/pinch collar
Harness (regular or no-pull)
Head harness (Halti, Gentle Leader, etc)
Other
Do you walk your dog using a Flexi or retractable leash?
Has your dog ever worn an electronic/shock collar?
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No
Yes, for training with me
Yes, for training with a trainer
Vibration only
Invisible/Underground fence only
I'm not sure
Other
Do you currently use an electronic/shock collar?
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No
Yes, for training with me
Yes, for training with a trainer
Vibration only
Invisible/Underground fence only
Other
List any medications with dosage/s (including preventatives) your dog is currently on:
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Does your dog have allergies? (please list what they are allergic to, if known)
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What brand/s of dog food do you feed your dog?
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How many times a day is your dog fed?
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Dog 2 (Only if this dog needs training, as well)
Dog's Name
Breed or mix
Dog's Age
How long have you had your dogs?
If you got your dog as a puppy, how old was s/he when you brought him/her home?
Dog's Sex
Male
Female
Where did you get your dog? (ex: Rescue, breeder, friend, etc.)
Why did you obtain this dog? (Companionship, watchdog, sport competition, playmate for current dog, etc)
Is your dog spayed or neutered?
Yes
No
Not Yet
Dog's weight
Coat color:
Do you use a crate with this dog?
Yes
No
We have one but do not use it.
Has your dog ever bitten a person or other animal?
Yes
No
Did the injury require medical treatment?
Yes
No
Describe the severity of the injuries inflicted:
Please explain the circumstances of the bite/s:
Is your dog motivated by food/treats?
Yes
Sometimes/Depends on the food/treat
No
Is your dog motivated by toys?
Yes
Sometimes/Depends on the toy
No
How do you exercise your dog (ex: walks, fetch, etc)?
What equipment do you use to walk your dog?
Regular, buckle collar
Martingale/Limited slip collar
Choke chain
Prong/pinch collar
Harness (regular or no-pull)
Head harness (Halti, Gentle Leader, etc)
Other
Do you walk your dog using a Flexi or retractable leash?
Has your dog ever worn an electronic/shock collar?
No
Yes, for training with me
Yes, for training with a trainer
Vibration only
Invisible/Underground fence only
I'm not sure
Other
Does your dog have allergies?
List any medications your dog is currently on:
What do you feed your dog?
How many times a day is your dog fed?
Additional Information
Veterinarian (Vet's name & clinic name):
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Has your dog had any training? List trainer, location, etc)
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List any skills your dog has (sit, down, stay, etc)
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Does your dog (check all that apply):
jump on people
pull on leash
bolt out of doors
growl or bark at visitors
guard food
guard toys
bark too much
ignore you when you call him/her
mouth/bite/chew hands or clothing
dig in the yard
chew/destroy things such as shoes, household items
show fear and/or anxiety
guard certain people or spaces
escape the yard
counter surf
fight with other dogs in the home
show any type or level of human aggression
dislike handling/petting
use the bathroom inside
Please list the top 3 behaviors you would like to teach your dog:
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How long have you been dealing with the issue/s?
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What/how have you tried to fix the issues?
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Have there been any major changes recently? (move, pet or person passed away, diet change, etc)
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Please list any other pets in the home (name, breed, age):
Names of other adults living in the home:
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Age/s of children who live in or visit home often:
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How much time does your dog spend home alone?
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Where does your dog stay when home alone?
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Where does your dog sleep at night?
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How does your dog/s respond to people they do not know coming into the home?
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Is there anything else you would like me to know about you or your dog/s?
I am interested in:
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Basics Program (3 sessions) $350
Manners Program (5 sessions) $550
Prodigy (8 sessions) $850
Program sessions expire 3 months from date of first session. No exceptions:
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I agree
I understand there is a $150 non-refundable deposit required to book a consultation (payable via Venmo, Cash App, or Zelle) & balance of program is due at consult:
I agree
What days/time frames would be best for you to schedule a consult?
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