YOUR CONTACT INFORMATION AND GENERAL SCHEDULING PREFERENCES

How did you hear about us? (If referral, please include name):

Name:

Phone:

Email:

Address:

Your preferred days/times for training sessions:

ABOUT YOUR DOG

Your dog's name:

Your dog's breed:

Your dog's current age:

When did your dog join your family and how old was your dog at that time?

HEALTH

What kind of food do you feed and how many times a day?

Is your dog spayed or neutered?

Yes

No

Approximate date of last vet visit:

Dog your dog experience chronic pain or other health problems that you are aware of?

What medications is your dog currently taking or has taken in the past (if any)?

Who is in your household that interacts with the dog (including humans and other pets!):

What motivates your dog? (e.g., food treats, play with toys, attention from you, fetch, etc.)

How does your dog respond to new people in your home? Please provide a thorough description if the dog is wary, fearful or acts aggressively towards strangers entering your home.

Has your dog ever growled, snipped, or bitten a person, or another dog, for any reason? Please describe.

On the scale below, please indicate how involved you want to be your dog’s training (Please indicate for each person who may be involved).

Person A

1. Not involved: You train him & involve us minimally.

2. A little involved: You do most of the training, we'll do a little homework.

3. A balance: Train the puppy & teach us too. We're interested interested & willing to do a little work with him on our own.

4. Fairly involved: We'd like to learn how to work with him - spend more of your time teaching us.

5. Very involved! Show us everything. We're willing to do lots of homework.

Person B

1. Not involved: You train him & involve us minimally. We don't have time for homework!

2. A little involved: You do most of the training, we'll do a little homework

3. A balance: Train the puppy & teach us too. It would be good to schedule some training sessions with just our dog and some with us.

4. Fairly involved: We'd like to learn how to work with him - spend more of your time teaching us.

5. Very involved! Show us everything. We're willing to do lots of homework and want to be present at all training sessions.

Person C

1. Not involved: You train him & involve us minimally. We don't have time for homework!

2. A little involved: You do most of the training, we'll do a little homework

3. A balance: Train the puppy & teach us too. It would be good to schedule some training sessions with just our dog and some with us.

4. Fairly involved: We'd like to learn how to work with him - spend more of your time teaching us.

5. Very involved! Show us everything. We're willing to do lots of homework and want to be present at all training sessions.

Please briefly describe a typical 24-hour day in your dog's life. (e.g. please include sleeping, exercise, meals, playtime, and potty routines).

What are your top priorities for training? Please indicate by rating the sample options below (or adding your own). Write n/a if you’re not interested in teaching this behavior. Add comments that may help me understand your priorities, or say more about “other behaviors” you’d like to work on with your dog.

Go to your bed/mat/crate

Sit

Down

Loose leash walking

Come (recall)

Potty training

Additional comments and other priorities:

Are you having specific problems with your dog's behavior? Please describe in detail the top few behaviors you are concerned about - what happens, who is present (human or other animals), location, how often the behavior occurs, and what you (or other humans) do when the behavior occurs. What would you like the dog to do instead of the behavior that's occurring right now?

Thank you! I typically respond within 48 hours of receiving an intake form. I look forward to speaking.

reCAPTCHA

Client Intake

YOUR CONTACT INFORMATION AND GENERAL SCHEDULING PREFERENCES

ABOUT YOUR DOG

HEALTH

Who is in your household that interacts with the dog (including humans and other pets!):

On the scale below, please indicate how involved you want to be your dog’s training (Please indicate for each person who may be involved).

Thank you! I typically respond within 48 hours of receiving an intake form. I look forward to speaking.