Behavior Questionnaire

Adult Dog Coaching 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
Please submit a separate form for EACH dog who needs training. Dogs in the same household do not incur additional training fees unless there are vastly different training goals to address with each dog.
This form is for basic/advanced/manners training only. If you need help with serious behavior problem-solving such as aggression, fighting, fearfulness, severe anxiety, etc please email us with a brief description of the issues you are having and your location to mobiledogconsulting@gmail.com.
Full Name

First NameLast Name
Phone Number
Format: (000) 000-0000.
Do you receive texts to this number?
E-mail
What is the best way to contact you?
Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How did you hear about me?
Tell me about your dog:
Dog's Name
Breed or mix
Where did you get your dog?

Other
Please include NAME of rescue, shelter or breeder if applicable.
Why did you obtain this dog?

Other
Dog's age:
How long have you owned your dog?
If you got your dog as a puppy, how old was s/he when you brought him/her home?
Is your dog spayed or neutered?
Dog's sex:
Dog's weight
Coat color:
Do you use a crate with this dog?
Has your dog ever bitten a person?
Did the injury require medical treatment?
Describe the severity of the injuries inflicted:
Please explain the circumstances of the bite/s:
Is your dog motivated by food/treats?
Is your dog motivated by toys?
How do you exercise your dog? (check all that apply):
What equipment do you use to walk your dog?

Other
Do you walk your dog using a Flexi/retractable leash?
Has your dog EVER worn an electronic/shock collar?

Other
Do you CURRENTLY use an electronic/shock collar?

Other
List any medications with dosage/s (including preventatives) your dog is currently on:
Does your dog have allergies? (please list what they are allergic to, if known)
Does your dog have diet restrictions? If yes, list problem foods:
What brand/s of dog food do you feed your dog?
How many times a day is your dog fed?
Additional Information
Veterinarian (Vet's name & clinic name):
Is your dog current on rabies vaccination/titered within the last 3 years?
Has your dog had any training?

Other
List any skills your dog has been taught (sit, down, stay, etc):
Does your dog (check all that apply):
Please tell me what we can help you with? Why are you reaching out for training help?
Please be specific about any issues you are having and/or things you'd like to teach your dog.
How long have you been dealing with the issue/s?
What/how have you tried to fix the issues?
Have there been any major changes recently? (move, pet or person passed away, diet change, etc)
Please list any other pets in the home (name, breed, age):
Names of other adults living in the home:
Age/s of children who live in the home:
Where does your dog sleep at night?

Other
How much time does your dog spend home alone?

Other
Where does your dog stay when home alone?

Other
How does your dog/s respond to people they do not know coming into the home? ex: very friendly, afraid, aggressive, barks but then is friendly, etc)
Is there anything else you would like us to know about you or your dog/s?
I am interested in:
Program sessions expire 3 months from date of first session. No exceptions:
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. We do not accept cash or checks for consult deposit, no exceptions:
What days/time frames would be best for you to schedule a 1.5 hour consult?
Should be Empty:

Adult Dog Coaching Form

Tell me about your dog:

Additional Information