Full Name
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Email
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Phone
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Address (this info is used to determine if you are within our service area and to plan drive time)
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City
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Postal code
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Are there any other adults living in your home?
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Do you have children living in your home? (if yes, please list ages)
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Dog's Name
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Dog's Age
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Dog's Sex
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Dog's Breed
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Dog's Weight
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Veterinarian's Name
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Vet Hospital/Clinic Name
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Does your dog have any medical conditions, health concerns, allergies or injuries?
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Please list any medications, including hw/flea/tick preventatives your dog is taking.
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How long have you owned your dog?
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Where did you acquire your dog from? (please give specific shelter or breeder name if known)
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Do you have any other pets at home? (if yes, please list them)
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Is your dog crate trained?
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Yes. My dog loves their crate!
Yes, but I only use the crate when I leave my dog home alone.
Yes, my dog was crate trained when they were younger but I don't use the crate anymore.
Yes, but my dog doesn't like being crated.
No.
No, but I would like help crate training my dog.
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Has your dog ever bitten a person?
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Yes. It was a serious bite that broke the skin and/or needed medical attention
Yes, but it wasn't serious and did NOT break skin or need medical attention.
Yes, my dog has multiple bites to a person/people.
No.
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Has your dog ever bitten a dog?
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Yes. My dog has caused injury to another dog.
Yes, but my dog did not cause injury or break the other dog's skin.
No.
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What issues are you having with your dog?
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Pulling on leash
Jumping on people and/or guests
Barking
Destructive behavior & chewing
Play biting or mouthiness
Potty training problems
Chasing things i.e. small animals/livestock/bikes/cars
Only listens when dog feels like it
Not coming when called
Resource guarding i.e. food/toys/bones/people/space
Separation Anxiety
Generalized Anxiety
Aggression on leash
Aggression with people
Aggression with dogs
Other
If other, please explain
What type of training are you interested in?
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Private Lessons at my home
Home School- Trainer comes to my home to train my dog
Puppy Training
Behavioral Evaluation
I'm not sure which option is right for my dog
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Scheduling Availability for Training (choose all that apply)
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Weekdays Daytime 8am-4pm
Weekdays Evening After 5pm
Saturdays
Sundays
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How did you hear about us?
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Today's Date
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I agree to
terms & conditions
provided by the company. By providing my phone number, I agree to receive text messages from the business.
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