YOUR DETAILS

First Name

Last Name

Email *

Phone *

ABOUT YOUR DOG

What Is Your Dog's Name?

What is your dog's weight (best guess)?

Dog’s sex (M or F)

Male
Female
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What is your dog's date of birth?

Is Your Dog Spayed/Neutered?

Spayed
Neutered
Not Fixed
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Has your dog nipped or bitten a human? If Yes, please describe the incident(s) in detail.

Has your dog nipped or bitten another dog? If Yes, please describe the incident(s) in detail.

GETTING TO KNOW YOU BETTER

Are there other pets in household? If Yes, please list species, sex, age, breed and if spayed or neutered.

Describe the others in your home and if they have responsibility with the dog? List names and age of your family in the home.

Who is your veterinarian?

Veterinarian phone:

Where did you get your dog from (Breeder, Friend, Rescue)?

How old was your dog when he/she was able to come home?

How did you pick up your dog (Shipped or Drove)?

SOCIAL AND EXCERCISE

What is your dog’s natural energy level?

Where does your dog sleep at night?

Do you have an enclosed yard?

Is your dog crate trained?

On an average day, approximately how many hours does your dog spend:

Inside Alone:
Outside Alone:
Inside with People:
Outside with People:

How much exercise does your dog get daily and what type? (e.g. walk, run, chase ball, etc.)

Where does your dog stay during the day when alone?

TRAINING HISTORY

Did you take your dog to a puppy class (under 6 months)? Where and when? Have you gone through training a puppy in the past?

Have you attended group or private training with your dog? Where and for how long?

What style of training have you used in the past?

What training tools have you tried with your dog?

Does your dog exhibit any of the following behavior problems? Please check the relevant behaviors and approximate frequency.(Answer: Never, Occasionally, Often

Excessive barking or howling:
Mouth on hands or clothing:
Object and food stealing:
Chasing (cars, people, other dogs):
Overly submissive behavior:
Jumping up (guest or owner):
Sleep problems:
Fearfulness (shy or phobic reaction):
Pulling on leash:
Running away:
House soiling (urination, defecation, marking, submissive urination):

What are your short-term goals for your dog?

What are your long-term goals from your dog?

Does your dog play well with (check all that apply):

Small puppies

Large puppies

Children

Adults

What common behavior challenge(s) do you and your dog want to work on?

Does your dog ever seem irritated by or resent petting or touching? If so, where on his/her body?

Does your dog bark excessively? If so, when and where?

Does your dog hide or run away if people talk loudly or act boisterously? If so, please describe context.

Does your dog ever urinate or roll over on his/her back when greeting? If so, please describe content.

Pleases check all the behaviors/cues your dog knows:

His/her name

Come

Sit

Down

Stand

Stay

Wait

Leave it

Crate

Touch/Hand target

Fetch

Go to place/bed

Look at me/Eye contact

Off

Heel

Spin

Other commands/tricks?

NUTRITION

Brand/type of food your dog is currently eating?

Frequency of feeding and the amount fed?

What treats are given for good behavior or training?

Is your dog on probiotics/supplements (goat milk, pumpkin)?

Any known food allergies or sensitivities?

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