--- Owner's Info ---

 Name:

  

 Email:

  

 Address:

  

 City:

  

 Prov:

  

 Postal Code:

  

 Phone:

  

--- Dog's Info ---

Your dog's name:

Dog's age:

Dog's Sex:

 Male Female

Your dog's breed?

 
   

 Is your dog neutered/spayed?

 Yes No

At what age?

Is your dog house broken?

 Yes No

Is it a Shelter or Rescued dog?

 Yes No

How often do you see your vet?

Is your dog crate trained?

 Yes No

Is your dog up to date on all shots?

 Yes No

Has your dog had any previous training?

 Yes No

If Yes please specify:

How long have you owned your dog?

Does your dog show any aggression?

 Yes No

What types of aggression?

 Biting Barking Lunging
Baring Teeth Growling Other

Please provide some detail:

  

Has the dog ever bitten?

 Yes No

If Yes please explain:

Is the dog socialized with:

 People Children Dogs Cats

How many people live with the dog?

Do you have any other pets?

 Yes No

How often is the dog walked?

What is the daily routine?

Is the dog allowed on furniture?

 Yes No

Where does the dog sleep?

Does the dog have any behavior problems?
i.e. jumping, biting, lunging, food surfing?

 Yes No

If Yes, please specify:

How do you respond to behaviour problems?

What are your goals
in having your dog trained?
    
   
 
 


Please review the form to ensure you have answered all questions 
then click on the send button to submit your form.