Ukiyo Dogs

Empowering the relationship between you and your dog!

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Questionnaire

Tackle one of the most common interview questions: “Tell me about yourself.” - LI Temps

This information will help us understand how we can best assist you.

Remember, this is a judgment-free zone
& we’re here to help.

Please contact us if you have any questions!

Name(required)

Date(required)

Email(required)

Phone Number(required)

Name of Dog(s)(required)

What is your favorite thing about them?

What's their age, breed or mix, and gender?(required)

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

Are they taking any medications? If yes, please list them.(required)

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

Are they: (required) Intact

Spayed

Neutered

Are vaccinations up to date?(required) Yes

No

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

Has your dog used any of the following training tools? "Training hasn't started yet!"

Food (daily meals)

Treat(s)

Toy(s)

Clicker

Head halter

Harness

Slip lead

Long line (12 ft. or longer leash)

Prong collar

Slip collar (or choke chain)

E-collar

Bark Collar

Invisible Fence

Indoor boundary device

Electronic training mat

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

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

What issues are you having with your dog that you would like to address? Listening skills (or selective hearing)

Recall or coming back when called

Off-leash reliability

Leash pulling

Jumping on others

Excitement (that's out of control)

Boundaries with infants or kids

Prey drive

Fighting with pet(s) at home

Counter-surfing (or stealing food)

Eats questionable items ( garbage / goose poop / shoes / laundry )

Interior or exterior decorating ( AKA the destruction of your home )

Grooming / Veterinarian issues

Separation anxiety

Excessive barking

Chasing vehicles ( cars / buses / skateboards / etc. )

Puppy problems ( potty training / crate training / baby shark teething )

Growling

Nipping or biting

Resource guarding ( food / bones / sticks / toys )

Mailman and delivery drivers are enemies in your household

Lacking manners when visitors come over

Advanced training ( service dog / therapy dog / scent detection / sport dog / tricks )

They're unbearably adorable

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

Camping

Mountain biking

Skiing or snowboarding

Your favorite outdoor activities

Downtown walkies

Breweries

Restaurants

Trips to Home Depot

Errands at dog-friendly businesses

Family or friend occasions

Your kid's sports and activities ( soccer / baseball / playgrounds / etc.)

Roadtrips

Another adventure that hasn't been mentioned

Any adventures that weren't listed above? Tell me more about them here.

Does your dog(s) express any anxiety, reactivity, or aggression with any of the following? (required) Nope! They are confident and happy!

Dogs

Kids

Adult men

Adult women

Vet Visits

Fireworks

Sirens

Vacuums

Loud noises

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

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.(required)

Any issues or goals that weren't listed above? Or anything you would like to mention?(required)

How did you hear about us?(required)