Training Questionnaire Please fill the below form.Fields marked with an * are required. First Name Last Name Email Phone Okay to Text Yes No Phone (Additional) Household Members Infants/Toddlers (Under 3) Kids (4-8) Kids (9-12) Teenagers (13-17) Adults Please list names and ages of household members Please list other animals in the home, including species, age, gender, and if they are intact/altered Please list any other animals outside of the home (livestock, poultry, etc) Is this your first dog as an adult? Yes No Did you grow up with dogs? Yes No Dog's Name Gender Female (Spayed) Female (Unaltered) Male (Neutered) Male (Intact) If your dog was neutered/spayed, at what age? If your dog is not neutered/spayed, do you plan on altering them? What age do you plan on altering your dog, if applicable? Age? Weight? Where did you acquire your dog? Breed (s) Is your dog's breed confirmed? Yes, DNA confirmed No, we are making our best guess Yes, they came from a breeder Feeding: What brand and formula does your dog eat? How many times a day? Do you ever use any enrichment toys (puzzle feeders, snuffle mats, etc)? If yes, please list What does an average day look like for your dog in the family? Is your dog crate-trained? Yes No Does your dog sleep in the crate? Yes No When do you use the crate (aside from sleeping)? Have you worked with a trainer before? Yes No What motivates your dog (Food, toys, etc)? What, if any, training tools do you use/have you tried (No pull harness, slip lead/collar, prong collar, e-collar, gentle leader/head halti, etc)? What obedience behaviors does your dog know reliably? If your dog has a release word (okay, break, free), please write it here: Does your dog has any behavior problems? Yes No If yes, please describe: How often, and for how long, does your dog go on leash walks? Does your dog have a history of biting, nipping, or making motions to bite? Please give the whole history, even if no skin is broken or if behavior is fear based. Does your dog have a REPORTED bite on record? Yes No Is your dog muzzle-trained? Yes No How is your dog's behavior for a veterinary examination? Does your dog take any mediations for behavior or anxiety treatment daily? Yes No Does your dog take any medications for behavior or anxiety for vet/grooming visits or boarding? Yes No If yes, please list medications: Does your dog have any health conditions? Yes No If yes, please describe and list any medications: How is your dog's behavior for grooming procedures (bath, nail trims, etc)? Does your dog have any resource guarding behaviors? Yes No Unsure If yes, please describe: Has your dog had any behavior assessments done by other pet professionals (e.g. veterinarian, behaviorist, veterinary behaviorist?) Yes No Unsure If yes, what was their assessment/recommendation? What are your training goals? Please list dietary restrictions, if any: SUBMIT
