Puppy Assessment Questionnaire

When you fill in this questionnaire, please be as accurate as you can.

The more information you give me, the more accurately I will understand your situation, and the more effectively I can help you.

Owners Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Phone

(###)

###

####

Your Puppy

Name

Breed and Sex

Date of Birth or Age

Place & Age Acquired

Where did you get your puppy and how old was it?

Health

Does your puppy have any health issues that you know of?

Diet

What types and brands of food does your puppy eat, include any treats or snacks, and any supplements and/or medication?

Issues

Please select the issues you have with your puppy

Sleep & Settling

Separation Related

Toilet Training

Crate Training

Biting, Nipping, Mouthing

Jumping Up

Chewing or Destructive Behaviour

Aggression

Any Other Details Not Covered

Please give any additional information

Social Media

At times, I may take photos and video of our training, this will help up analyse what is happening. If you are happy to allow photos and videos to be shared on social media please check this box

I allow photo and video content of training to be shared on social media