You are one step closer to the well-behaved dog you've always wanted!

Please complete the form below prior to our consultation. During our consultation, we will be able to spend more time training and less time gathering the dog’s history. See you soon!

To minimize the spread of illness, I do require face coverings when we are inside or closer than 10 feet from each other (such as when answering the door). We'll look at changing this rule after November 1, 2020.

I know it’s uncomfortable. I also find them uncomfortable. It’s an honorable thing to put up with a little discomfort to keep our friends and guests safe by wearing a mask. Please cancel the appointment if you think you’ll be unable to wear a facial covering when we need to stand or sit closer than 10 feet. Thanks for your cooperation.

Your Name *

What are the names of the other people who live at the home with the dog(s)? Please include the ages of the children.

Email *

Cell Phone Number (text message communication will be sent here) *

Secondary Phone Number *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Can you tell me anything that will help me identify your house or building (blue car in driveway, etc.)?

Do I need a code to reach your front door? Do you live in a gated community or apartment?

Dog's Name

Dog's age

How long have you had this dog?

Dog's Breed

Dog's sex

Is there a second dog living in the house? *

Dog #2's Name

Dog #2's age and how long you have had the dog:

Dog #2's Breed

Dog #2's sex

Is there a 3rd dog living in the house?

Dog #3's Name

Dog #3's age and how long you have had the dog:

Dog #3's Breed

Dog #3's sex

Which dog are you focusing on when completing the rest of the form? Please fill out an additional form if the behaviors we need to address with each dog are much different from the other dog in the house.

What are your top 5 goals for your dog's behavior?

Does your dog struggle with any of these undesired behaviors?

Potty accidents
Biting/Mouthing on hands and clothes
Steals my stuff (shoes, socks, toilet paper, etc.)
Jumps on people
Puts feet on counter tops and tries to steal food
Bolts out of doors
Barks excessively

What skills would you like your dog to learn?

Sit
Lie down
Leave it/ don't touch
Walk nicely on a loose leash
Drop it (tug toys, balls, bones, stolen items)
Relax on a mat during TV time, work or meals
Stay while people or dogs walk by
Come when called while indoors
Come when called regardless of distractions or location

Have you seen any fearful, concerning or aggressive behavior from your dog (shying away from people or dogs, barking at people or dogs, growling, guarding, etc.)? *

Yes, shy, fearful, barking or aggressive behavior with other dogs
Yes, shy, fearful, aggressive, concerning or barking behavior with people
No, my dog is confident and outgoing with every person and every dog

My dog responds with concerning behavior (barks at, hides from, lunges towards, etc.) to:

Being home alone
Sounds: Thunderstorms, fireworks, lawnmowers or other sounds
Sudden changes in the environment
People talking to, approaching or reaching for the dog
People in motion such as joggers
Wheels such as rollerblades, vacuum, bicyclists, etc.
Children, babies or strollers
Men
Vet visits
People taking the dog's bones, toys or food away
Dogs while on the leash
Dogs being near bones, toys or food

Has the dog ever bitten a person or a dog? *

Yes, bitten a dog. It didn't look playful.
Yes, puppy biting.
Yes, bitten a person. It didn't look playful.
Not that I'm aware of.

How will your life be impacted once your dog is trained (less embarrassed when visitors come over, being on time to work because the dog came when called, peaceful walks around other dogs, more freedom to go places with the dog, etc.)?

Would you like to receive free dog training tips occasionally via email?

Have you read the Terms of Service and 72-hour cancellation policy? *

Read the Terms of Service at mariahhinds.com/policies/

Select service

In home training consultation
Video training consultation

Total

$ 0.00

If you don't have a PayPal account, when the PayPal screen opens, click on the gray button to check out instead of the blue button.

Credit Card *

Card Number

Security Code

Name on Card

Expiration/

Message

Paying for your consultation prior to our arrival allows us to send you additional training resources (videos, handouts and tutorials) to jumpstart your progress prior to our one on one session together.

Because of this, we are able to more deeply dive in on the issues during our one on one session together. This maximises what you get with each one on one session saving you time and money.

Monday	9:00 AM - 9:00 PM
Tuesday	9:00 AM - 9:00 PM
Wednesday	9:00 AM - 9:00 PM
Thursday	9:00 AM - 9:00 PM
Friday	9:00 AM - 9:00 PM
Saturday	9:00 AM - 2:00 PM
Sunday	Closed