Owners Name
*
First Name
Last Name
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Email
*
Phone
(###)
###
####
Name
*
Breed
*
Age
*
Problems
*
Please list every issue you consider the dog has
Other Pets
List any other pets in the home, including other dogs with breed, age, and sex, and if neutered
Food
What types and brands of food does your dog eat, include any treats or snacks, and any supplements and/or medication
Mealtimes
When and where does your dog eat, specify times and who normally feeds it, and if they eat before or after you
Food Guarding
Does your dog bark, growl, or become aggressive when eating food or snacks
Sleep & Rest
When and where does your dog sleep, what times, and where do they rest, especially when you are out, are they confined to an area, are they in a crate or pen
Exercise
How often is your dog exercised, for how long, where, and normally who does it, how long is the dog off-lead when out
Toys & Games
What is your dog's favourite toys, where are they normally kept and how often do you play games using toys
Resource Guarding
Does your dog bark, growl, or become aggressive around toys, or any found objects, or do they guard their bed
Bathing & Grooming
Do you bathe or groom your dog, how often, and is it done professionally, how does your dog react to bathing or grooming
Social Contact
How does your dog react to other family, to visitors, to strangers, to other pets, and to other dogs, on and off lead
Biting
*
Has your dog ever growled at, or bitten anyone (including you) after age 5 months
Bite Details
If your dog has ever bitten someone then please give details
Destructive Behaviour
Does your dog cause damage within the home, e.g. furniture, carpets, skirting, etc, if so give details, state whether this occurs when you are home or not
Any Other Details
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
