Canine Background - Training to a T, LLC

Client Information

Today's Date(required)

Guardian's Name(required)

Address(required)

Home/Cell Phone Number(required)

Email(required)

Dog/s Information

Dog/s Name (required)

Dog/s Breed (required)

Age/s(required)

What is your dog's background (if known)(required)

Gender/s(required)

Date of Adoption/Purchase (if unknown, a general range of how long you have had him/her)(required)

Is/Are your dogs spayed/neutered?(required)

Is/Are your dogs up-to-date on vaccinations?(required)

Date of Last Vaccinations (If unknown, leave blank)

Date of Most Recent Vet Visit (if known) and Results

Does Your Dog Have Any Allergies to Food Items or Any Special Dietary Restrictions?(required)

What Motivates Your Dog?(required)

How Many Total Dogs/Cats/Animals are in your Home? (required)

Behavior and Training Goals

Describe your training goals and what areas you would like to focus on in training. (required)

Dog training requires a lot of time and patience. How confident are you that you will be able to fit in daily training sessions with your current schedule (work, day-to-day, etc.).(required)

Not At All Confident (1-3 on a scale of 1-10) Somewhat Confident (4-6 on a scale of 1-10) Very Confident (7-10 on a scale of 1-10)

Bite History

Is your dog good with other dogs around them?(required)

Yes No

If No, Please explain what they do when they are around other dogs.

Has your dog ever bitten another human or animal?(required)

Yes No

If Other, Please Indicate

If your dog has bitten describe the circumstances surrounding the bite/s

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