Reactive support programme questionnaire

Reactive support programme questionnaire

Tailored 1-1 & group support for the whole family
This support programme is about giving you the best support we can , so honest and accurate information is essential, we aren’t hear to judge , we are here to help. Help with your dogs reactivity , installing confidence to all of you , teach & train you, your family & your dog to cope and deal in tricky situations and progress so you can enjoy time out with your dog, and your dog is well trained for your life style.

We promote force free training using effective simple techniques to achieve this as quick as possible, building a solid foundation. Learning life skills with various types of training such as focus, basics , scent work , tricks & dog sports that are suitable for reactive dogs.

Personal Reports, training sheets & handouts so you can go back through your training and booked FaceTime sessions available so your never alone struggling until the next session.
Reactive support programme

Please fill out & return immediately to book in with the reactive support programme
What course are looking to attend with your dog
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
About your dog
Your dogs name *
Breed *
Age *
Sex*

MaleFemale
Temperament*

NervousAnxiousAggressiveExcitableShyOther
Neutered*

YesNo
How long have you owned your pet ?*
Is your pet a rescue ?*
Likes?
Favourite things
What type of training have you previously done ?*
What training can your dog do?*
OUTSIDE

Tell us about your dog outside
Focus*

Looks at you when instructed alwaysLooks at you when aloneRefuses to look at you at anytime
recall*

AmazingSelect hearingOnly when aloneDoesn’t go off leadOther
Loose lead*

Walks nicelyPulls when excitedPulls when approaching dogs/humansLunges
Does your dog react (outside )*

To all other dogsSome dogsAll humansSome humansChildrenTrafficCats/squirrels/birdsAny noises
Please tell us details of the reactivity, any incidents (outside) *
INSIDE

Tell us about inside the home
Does your dog

Suffer from separation anxietyUrinates in the homeBarks at loud noisesBarks at the door bellChews items not belonging to them
Please tell us your home issues in detail & events *
Does your dog guard?

their food bowlTreatsTheir bedAnother areaYour home & garden
Please describe the guarding
Does your dog have*

A crateTheir own bed spaceOther spaces
Noise issues
Has your dog shown aggression*

At homeIn the gardenOutsideNever
What was the reaction (please answer as best you can )

SnarlingNippingBiting
Please tell us the events leading up to , during & afterwards for aggression incidents
Barking -tell me when your dog barks
Does your dog suffer from weather related issues such as storms , rain , sun ?
Does your dog travel well in the car ? Describe your journeys
Tell me what your dog loves ♥️*
ABOUT YOU

Tell me about you
who lives with you ?*
Has there been any sudden changes in the household/family recently?
Is there anything you feel , I may need to know to help with your support programme ? Such as disabilities or mental health or illness (everything is in the strictest confidence & protected under the data protection act)
How does your dog make you feel & when ?*
What are you looking for , from training with us ?*
Please read carefully

Tick all appropriate boxes ✅
Does your dog have any food allergies?*

YesNo
Does your dog have an photo sensitivity issues ?*

YesNo
By ticking this box you are agreeing to the following,*

The perfect pet company holds no responsibility to injury to your dog & family while training at the academy using any indoor & outdoor environment, (we follow a high duty of care policy and adhere to regulations)
Signature*
By agreeing to this , you are agreeing to social media & website use of photos of your dog.
Do you want to subscribe to our mailing list- keeping up to date with a fortnightly newsletter, offers & events from the perfect pet company (you can unsubscribe at any time )*

YesNo
Do you want to receive offers via text ?*

YesNo
we look forward to working with you

shell x
Should be Empty:

Reactive support programme questionnaire

Reactive support programme

About your dog

OUTSIDE

INSIDE

ABOUT YOU

Please read carefully