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Your Information

Name *

Phone Number *

Email Address *

Appointment Location

Location for this appointment:

My registered address

Required Forms

Please complete the following forms as part of your booking.

Consultation Intake

How do you prefer to be contacted? *

Text

Call

Dog's Name *

Dogs breed *

Dog's Date of Birth *

If you're unsure, the date on their vet record or your best guess is fine

Dog's Weight *

Where did you adopt your dog from? *

How long has your dog been living in your home? *

Is your dog up to date on vaccinations? *

We may require proof

Is your dog spayed/neutered? *

Which of the following best describes your dog? *

Select up to 3

Energetic

Vigilant

Playful

Calm

Cautious

Enthusiastic

Apprehensive

Curious

Exuberant

Is your dog struggling with any of the following behaviors? *

Check all that apply

Nipping / Mouthing

Jumping on people

Excessive barking

Pulls when walking on leash

Chewing on furniture or other items

Difficulty potty training

None of the above

Does your dog show any signs of any of the following? *

Check all that apply

Reactivity / aggression

Resource guarding / possessiveness

Fearfulness

Skittish / hiding

Obsessive behavior

Separation anxiety

None of the above

Please describe the reasons you are seeking a trainer in your own words *

What methods, if any, have you used to try and solve the issue?

How does your dog typically react to a loud unexpected noise? *

Little to no reaction

May bark a couple of times and go see

Barks excessively

Cowers / hides

Other / don't know

How does your dog typically react to a guest in the home? *

Approaches with happy wiggly body

Approaches with lots of excitement, jumping, barking

Slow to warm up will approach on own time

neutral or uninterested

Actively avoids people by trying to hide or escape

Very alert: may lunge or growl at a distance

Obvious stress: showing teeth, growling, hackles up, or other signs

Other / don't know

How does your dog typically react to seeing a person on a walk? *

Approaches with happy wiggly body

Approaches with lots of excitement, jumping, barking

Slow to warm up will approach on own time

neutral or uninterested

Actively avoids people by trying to hide or escape

Very alert: may lunge or growl at a distance

Obvious stress: showing teeth, growling, hackles up, or other signs

Other / don't know

How does your dog typically react to seeing another dog they have never met before *

Approaches with happy wiggly body

Approaches with lots of excitement, jumping, barking

Slow to warm up will approach on own time

neutral or uninterested

Actively avoids people by trying to hide or escape

Very alert: may lunge or growl at a distance

Obvious stress: showing teeth, growling, hackles up, or other signs

Other / don't know

Which of the following types of equipment do you use with your dog? *

check all that apply

Plain buckle / clip collar

Plain walking garness

No-pull harness (EasyWalk)

Head halter / Halti

Martingale

Choke / chain collar

Pinch / prong collar

None of the above

What kind of leash do you use? *

Check all that apply

Plain leash (nylon / leather)

Retractable leash

Long line

Tie out / cable run

None of the above

Has any of this equipment ever been used on your dog (to your knowledge)? *

Anti-bark collar

Remote shock collar

E-collar (emits sonic, citronella, or other punisher)

Electric fence / proximity collar

None of the above

Does your dog have access to toys at all times? If not please explain why *

What types of toys does your dog enjoy and play with regularly? *

Check all that apply

Balls

Ropes

Noise-making (squeak, grunt, etc)

Treat-dispensing

Puzzle

Kong, Toppl, Lickimat, or similar

Fabric / stuffed toys

Edibles (bones, antlers, no-hides, etc)

Other

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Appointment Summary

Service:: -
Date:: -
Time:: -
Name:: -
Email:: -
Phone:: -
Dog(s):: -
Location:: -

You will receive a confirmation email with your appointment details and calendar links.

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Your Information

Appointment Location

Required Forms

Consultation Intake

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Appointment Summary

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