Name
First Name
Last Name
Your Pronouns
She/Her
He/Him
They/Them
Other
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
Phone
(###)
###
####
Can we text you at the number above?
What are your primary goals for your dog?
Dog's Name
Dog's Age
Dog's Breed/s and Approx Weight
Is your dog spayed or neutered?
Please list all people in your home, including pronouns, and the ages of any children.
List all other dogs in your home, include names, breed/s, approx sizes, and ages
List all other pets in the home (cats, birds, etc)
What's your home environment like?
When did you adopt your dog and how old was your dog at the time of adoption?
Where did you get your dog?
Name of Rescue, Shelter, Breeder, etc
What drew you to this specific dog?
What type of food does your dog eat (kibble, wet, fresh, raw, etc) How much and often (1/2 cup twice a day, free fed, etc) What brand?
What are your favorite ways to exercise your dog? How regularly?
What is your dog's favorite treat? Favorite toy?
Date of last vet check? Have they had blood work done? If so, when?
Does your dog have any current or previous medical conditions? Have they every had a visit to the emergency vet?
Has your dog been prescribed any medications? Do they or have they taken supplements? Have either been changed or updated?
Has your dog ever bitten a dog or person? Did the bite require medical attention?
*
What is your main behavior concern? When did it start?
Describe the most recent incident.
In the last year it's gotten
In the last three months it's gotten
Other Behavior Concerns - serious problems or just day to day issues that aren't ideal.
Have you ever considered any of the following:
What have you tried to modify or avoid the behavior problems?
Have you worked with another trainer in the past? If so, share a little about that experience.
Is there anything we should know?
