Training Intake Form
First Name
Last Name
Email
Phone
Address (for home visits)
Preferred Communication Method
Select an option
Phone call
Text
Email
ABOUT YOUR DOG
Your Dog's Name:
Age:
Breed:
Spayed/neutered?
Select an option
Yes
No
Gender:
Where did you get your dog?
How long have you have you had them?
What is your favorite thing about them?
Have you owned dogs previously?
Select an option
Yes
No
REASON TO SEEK TRAINING
What is the main behavior problem or concern?
How long has your dog been practicing this behavior?
In what general circumstances does your dog display this behavior?
How have you tried to work on this behavior?
Have you spoken to your veterinarian about your dog’s behavior?
Select an option
Yes
No
PREVIOUS TRAINING
Has your dog had previous training?
Select an option
Yes
No
If yes, please explain the type of training and your experience.
What kind of equipment do you use to train your dog? (i.e. prong collar, e-collar, no-pull harness, etc)
Is your dog motivated by food and/or toys?
Food
Toys
Both
Neither
What cues/commands does your dog know?
PLAY AND EXERCISE
How do you exercise your dog?
How do you play with your dog?
Do you take your dog to daycare or dog parks?
Select an option
Yes
No
AT HOME
Is your dog crate/kennel trained?
Select an option
Yes
No
Where does your dog sleep?
Where is your dog kept while you are gone?
What type of home do you live in? (i.e. house, apartment, etc)
Are there other people living in the home? If yes, please describe.
Are there other dogs in the home?
Select an option
Yes
No
Is yes, please list the name/age/breed of all other dogs.
FOOD AND MEDICINE
What type of food do you feed and how often?
Does your dog have any dietary restrictions or allergies?
Select an option
Yes
No
If yes, please list them here:
Does your dog have any medical conditions or health concerns?
Select an option
Yes
No
If yes, please list them here:
When was your dog’s last visit with a veterinarian?
Any additional concerns?
Submit
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