In training, we must consider the human element. Please fill out the information below to help us understand who the dog is living with and where they will be living. Sometimes we have to consider that "Maybe It's Not The Dog."
Your First Name*
Your Last Name*
Your Phone Number
Your Email*
Street Address*
City*
State*
Zip*
Number of Adults at Home
Number of Children at Home
Emergency Contact Name:
Emergency Contact Number
Ages of Children at home 0-56-1011-1516+
How were you referred to me?
This section helps us to identify the best methods we can use to train your dog. Please fill it out with your dog's information as completely as possible
Name*
Breed*
Date of Birth
Gender malefemale
Has your dog been spayed/neutered? yesnounknown
How long have you had your dog?
Where did you get your dog? (please include phone numbers/websites)
Does your dog have any health issues currently?
Does your dog have any known previous health issues?
How much exercise does your dog get daily? 0-30 Minutes Daily30-60 Minutes Daily60-90 Minutes Daily90-120 Minutes Daily
Where is your dog exercised? (walked, backyard, dog park, etc.)
Veterinary Group/Veterinarian* Veterinary Phone Number* Veterinary Website* Vaccinations and Dates* Current Medications* (if none, please type "NONE")
What brand of food do you feed? How much do you feed? What times of day do you feed?
Is your dog a picky or good eater? Any issues with your dog's digestion (vomiting, diarrhea, etc.)?
Behavioral Concerns (please check all that apply) ChewingNipping/MouthingExcessive BarkingHousebreaking IssuesStealing FoodGuards FoodGuards Toys/ObjectsDiggingPulling on LeashWill not Walk on LeashJumps on FurnitureJumps on PeopleDoesn't Come When CalledRuns Away
Is there any aggression towards: Large DogsSmall DogsHousehold MembersHousehold GuestsStrangers/Delivery People How does your dog display aggression? What do you do when your dog is behaving aggressively?
Please list all professionals you have sought help from: (Names, Websites, Phone)
What was the result?
What does your dog do when frightened?
What do you do when your dog is frightened?
Who spends time with your dog? Where does your dog sleep? What room does your dog sleep in?
What if any training have you done so far, and what does your dog know how to do? Do you have any specific training goals? Is there any other information we should know?
