New Client Questionnaire

Please complete and submit this form before we meet.

Name first & last:
Email:
Phone:
Address:
How did you year about me?
Would you like to receive FREE monthly training tips?  Yes No
Names of other humans in household:
Occupations:
List all pets in household:
Dog's name & breed:
How/when acquired?:
Name of breeder/shelter:
Sex of dog:  Male Female
Birth date and age (if known):
Spayed/neutered?  Yes No
History of illness and/or physical injuries:
Veterinarian:
Brand/type of dog food and times fed each day:
Type/amount of exercise:
Favorite games/toys/activities:
Have you and your dog ever done any training? If so, where?
Why are you seeking private lessons/behavior counseling?
Please describe any incidents in detail:
Have there been any changes in routine in the last 3-6 months?
How would you describe your dog's personality?
How long have you been concerned about your dog's behavior?
Have you ever sought help for this issue? If so, where? What were the results?
How do you discipline your dog?
How does he/she respond when disciplined?
Please list all training goals:
Has your dog ever growled at anyone?  Yes No
Snapped?  Yes No
Bitten?  Yes No
Was anyone ever injured? If so, please describe:
May I contact your vet or trainer for input on your animal's issues?  Yes No

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You will receive a copy of this form when you press Submit.

WHAT YOU NEED TO TRAIN:

**Equipment will be discussed & available **

  • 6 foot leash and collar (no choke chains)
  • Delicious treats in pea sized amounts (cheese, chicken, hotdogs…) about 1 cup.
  • Your pet’s favorite toy or game
  • A slightly hungry pet

PLEASE REMEMBER TO:

  • Feed your dog AFTER our session or 2-3 hours BEFORE (we want him hungry).
  • Exercise your pup before appointment so they can relieve themselves.

POLICIES:

  • 24 hour cancellation—if you need to reschedule, please give 24 hrs notice.
  • Payment—Payment is due at time of service unless other arrangements are made.
  • Mileage/Travel fees: when appropriate, travel time will be billed at $30/hour.
  • Bounced check fee—there is a $20 fee for returned checks.

SOME THINGS TO REMEMBER:

  • Animal behavior is unpredictable:Unfortunately, trainers cannot guarantee results because of this.However, I do provide ongoing support.
  • Please remember to:
  • Be consistent. This is the key to success.
  • If you have concerns call or email me so I can help!
  • STOP any training if your dog shows any aggression toward you and contact me.

PLEASE PREPARE FOR YOUR LESSON:

  • Be prepared with 6’ leash and regular collar (no choke chains) or you can purchase equipment from me
  • PLEASE: Ignore or turn off all telephones so we can work uninterrupted
  • Have delicious soft treats ready and your dog hungry& exercised