Email *
Phone *
What are the names of the other members of your family?
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 Female Spayed Male Neutered Female- intact Male- intact
Is there a second dog living in the house? * Yes No
Dog #2's Name
Dog #2's age and how long you have had the dog:
Dog #2's Breed
Dog #2's sex Female Spayed Male Neutered Female- intact Male- intact
Is there a 3rd dog living in the house? Yes No
Dog #3's Name
Dog #3's age and how long you have had the dog:
Dog #3's Breed
Dog #3's sex Female Spayed Male Neutered Female- intact Male- intact
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?
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 Yes, concerning behavior with dogs and people No, my dog is confident and outgoing with every person and every dog
Has the dog ever air snapped at a person or a dog? Yes, air snapped at a dog Yes, air snapped at a person No
Has the dog ever bitten a person or a dog? Yes, puppy biting Yes, bitten a dog Yes, bitten a person No
What do you like about your dog?
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 join our monthly training newsletter? Yes No
