About you

Name *

Date *

Email *

Phone number *

About your dog(s)

Name of dog(s) *

What is your favorite thing about them?

What’s their age, breed or mix, and gender? *

Do they have any health issues or allergies? If yes, please describe them. *

Are they taking any medications? If yes, please list them. *

Where did you get them from? How old were they?

Are they: *

Intact Spayed Neutered

Are vaccinations up to date? *

Yes No

Which veterinary clinic do you take your dog(s) to? *

Training history

Has your dog used any of the following training tools?

How do you exercise your dog(s) on a normal day? *

Why do you want to train your dog(s)? Did something happen recently that made you decide you needed a dog trainer?

Goals

What issues are you having with your dog that you would like to address?

Do you ever wish your dog(s) could join you on any of the following adventures?

Any adventures that weren’t listed above? Tell us more about them here.

Safety

Does your dog(s) express any anxiety, reactivity, or aggression with any of the following? *

Has your dog(s) EVER bitten any person for ANY reason? We need to know this to help keep your dog and everyone safe. If yes, please explain. *

Has your dog(s) ever attacked another dog, been attacked, or been involved in any dog fights? Please describe any injuries that needed medical attention. *

Anything else

Any issues or goals that weren’t listed above? Or anything you would like to mention? *

How did you hear about us? *

Please tell us who referred you. We would love to personally thank them!