First Name *

Last Name *

Email *

Phone *

Dog Name *

Dog Breed *

Dogs Birthday (Best Guess) *

Address

City

State

Postal code

How long have you owned your dog? *

How old was your dog when you got it?

Where did you get your dog from?

What attracted you to this dog?

Please list the names of household members and the ages of any children living in the home:

Please list the names, ages and breeds of other dogs in the household:

Please list the names and types of other pets in the household:

What do you know about your dogs history?

Did you meet your dogs parents and were they friendly?

Did you see the environment your dog was raised in? What was it like?

What training and exposure did your dog have before you purchased or adopted it?

Vet Name

Has your dog had any health issues? *

Is your dog currently on any medications? If yes, what medication(s) and what is it for?

What are the main challenges you are having with your dog? *

What type of training have you done?

Have you worked with another trainer? If yes, who?
What training methods have you tried?
What commands does he/she do consistently?
What commands have you worked on?
What side do you walk your dog on?
What is your dog’s favorite reward?

What is your dog’s typical daily routine?

Where does your dog sleep at night?
What amount, frequency and type of food does your dog eat?
Does your dog have any food allergies?
If Yes, List Allergies
Does your dog have any non-food allergies?
What type of building do you live in?
If in an apartment or Condo, what floor do you live on?
Do you have a fenced yard? If yes, Type of fence?
Does your dog have free access to the yard through a doggy door or other means?
Do you walk your dog out on leash to eliminate?

List allergens above if applicable

What type of exercise does your dog get? Length of time? Frequency?

Is your dog crate trained?

Where does your dog sleep at night?

Where does you dog stay when left home alone?

Is your dog allowed on the furniture?

Has your dog ever growled, snapped, bared teeth or bitten anyone ever for any reason? If yes, please explain. When was the first incident?

Does your dog ever put his/her mouth on you, even in play?

Does your dog escape?

How do you transport you dog in the car?

How well does your dog ride in the car?

Does your dog steal things? If yes:

What technique do you use to retrieve the item from your dog?
Will your dog easily let you have it?
If it steals something out of the garbage are you able to take it away? Will your dog run away with it and not let you have it?
Will your dog growl or snap at you if you try take it away?
Other

What does your dog do if you touch it while it is eating?

Does your dog tense up if someone gets near its food?
Will your dog growl or snap if someone gets near its food??
What happens if you touch its food while eating?
Does your dog stop eating if someone gets near or touches its food?
Does your dog keep eating and remain relaxed if someone gets near or touches its food?

What will your dog do if you try to take a real bone away? Is he/she comfortable with you while chewing on a bone? (Any tension, baring teeth, growling, stiff body posture?)

What happens if you disturb your dog while it is sleeping or resting?

Is your dog aggressive to other dogs?

Do you take your dog to dog parks?
Do you plan to take your dog to dog parks?
Does your dog have any doggy friends?
How does your dog react when you pass another dog on a walk?
Has your dog ever bitten or injured another dog?

How does your dog act around children?

If has issues with children, what ages of children does your dog has a problems with?
Does your dog have issues with children with in the home?
Does your dog have issues with your children's friends?
Does your dog have issues with children who are strangers?

How does your dog act around cats or other small animals?

Does your dog allow you to groom it?

Is cutting toe nails a problem?
Is brushing a problem?
Does your dog put its mouth on the brush or nail trimmers?
Is bathing a problem?
Is shaving or scissoring a problem?
Does your dog put its mouth on you, bare teeth or growl?
Can groomers handle your dog easily?
Is blow drying a problem?

Is your dog sensitive to sound? How does it react to loud sounds like thunder, fireworks, loud equipment etc.??

How does your dog act at the vet?

What are your top 3 goals for your dog?

What training program are you interested in?

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