Owner
Name(s)
Email address
Street address
Phone number
Preferred method of communication email text
Dog
Name
Dog's date of birth *OR Dog's age (if date of birth is unknown)
Breed
Date of your dog's last rabies vaccine
Does your dog have any diagnosed medical problems? yes noIf yes, please specify
Does your dog take any medication? yes noIf yes, please specify
Is your dog spayed/neutered? yes no
How long have you had your dog?
Where did your dog come from?
Why did you choose this breed?
Why did you choose this particular dog?
Who is primarily responsible for this dog?
Have you had dogs previously for whom you paid the vet bills? (ie: not a childhood family dog) yes no
Do you have other pets? (select all that apply) dog(s) cat(s) other
How many people live in the household total?---12345678910
Does your dog have any food allergies/sensitivities? yes noIf yes, please specify
What do you feed your dog? (select all that apply) kibble canned raw homemade other
How often is your dog fed? once daily twice daily three times daily free fed
Does your dog finish their meals? yes no
Is your dog crate trained? yes no
How long is your dog left alone during the day? 0 hours 1-2 hours 2-4 hours 4-8 hours 8+ hours
Where does your dog live primarily? indoors outdoors
Have you done previous training or taken classes with this dog? yes no
What type of exercise does your dog get?
If your dog is walked, how often?
What is your dog's favourite treat?
What is your dog's favourite toy?
What is your dog's favourite activity?
Which time slot works best for your schedule for training sessions? (select any that apply) Tuesday evening Wednesday evening Saturday afternoon any none
