Client Information

First Name

Last Name

Address

City

County

Postal code

Phone Number *

Email Address *

Dog Information

Dog's Name

Dog's Breed

Dog's Age

Dog's Sex:

Spayed/Neutered

Date of last vet visit

Health issues (if any)

Medications currently taking (if any)

Dog's Daily Routine

How long are they typically left?

Do they settle when left alone?

Is there access to a garden?

Describe your dog's daily routine (include sleeping, walking, training, etc) *

What walking equipment do you use?

Behavioural Information

What brand/type of food does your dog eat? How often? *

Are they Reactive around food?

Does your dog live with any other animals? If so, please describe their relationship *

Please list any previous training your dog has had (include trainer’s name, techniques used,Cues learned, etc *

Are there any specific triggers that cause your dog to behave negatively (e.g., certain noises, people, animals, situations)? Please describe *

Specific Behavioural issue

Behaviour information

Has your dog ever bitten a person or another animal? If so, please describe the circumstances

Have there been any incidents of your dog snapping or attempting to bite? If so, please describe

Please describe the behaviour of concern in detail. (if more than one, list in order of importance)

What happens in the moments immediately before the behaviour occurs?

Please described how you or others react to the behaviour?

How do they react to visitors, known, strangers, and children?

Training Goals

What are your immediate training goals for your dog?

What are your long-term training goals for your dog?

Are there any specific cues or behaviours you would like your dog to learn?

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