Name:
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First Name
Last Name
Address:
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Phone:
*
(###)
###
####
Email Address:
*
Occupation:
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Your Age:
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Will the person participating in their dog’s training have any physical disabilities? If so, please list:
*
What days/times are you typically available for training with us?
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Dog's Name:
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Dog's Breed:
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Dog's Age:
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Is your dog spayed/neutered?:
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Is your dog up to date on his/her vaccinations and can you submit proof of that? :
*
What commands does your dog know well?:
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Is your dog friendly with people outside of your home? If not, please describe:
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How does your dog react when he/she sees people?:
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Has your dog ever bitten someone? Did it break skin?
Please describe what happened:
*
Is your dog friendly with children? If not, please describe:
*
How does your dog react when he/she sees children?:
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Has your dog ever bitten a child? Did it break skin?
Please describe what happened:
*
Is your dog friendly with other dogs? If not, please describe:
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How does your dog react when he/she sees other dogs?:
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Has your dog ever bitten another dog? Did it break skin?
Please describe what happened:
*
Does your dog have any behavior issues? If so, please describe:
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Does your dog have any anxiety or fear issues? If so, please describe:
*
Is your dog friendly with cats? If not, please describe:
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How many days per week are you willing to train your dog? :
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What amount of time per those days can you spend training your dog?:
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Are you a new or experienced owner?
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Please list the household family members that interact with your dog, (if children please list their ages):
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Have you previously attended any training classes at a different training facility?:
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Have you previously sought any professional help with any behavior issues listed in this questionnaire?:
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Have you been satisfied with the training you have done in the past?:
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What tools do you currently use with your dog?:
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Please describe your goals for training your dog:
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Please describe the frequency of leashed walks, unleashed exercise, or dog sports that your dog is currently involved in:
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Do you take your dog on vacation, to parks, to pet friendly stores, etc.? Please describe:
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What is your dog's living environment (indoors, outdoors, apartment, house, kennel, etc.)?
:
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Is your dog destructive?:
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Is your dog potty trained?:
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Is your dog crate trained?:
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Do you free feed or give meals?:
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Where does your dog eat?:
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How did you hear about us? If a client of ours, or an organization referred you, please let us know whom, so we can thank them.
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