Training Questionnaire
Please answer as accurately and honestly as you can, so we may provide you with the best service to help you and your dog. Information shared will be kept strictly confidential. Thank you for considering Smart Dog Training Camberley. (5 mins)
Dog's Name
Dog's Age
Dog's Date of Birth (Please estimate if unsure)
Dog's Age when Adopted
Dog's Gender
Female
Male
Has your dog been spayed or neutered?
Yes
No
Breed Type
Have you owned a dog before?
Yes
No
Are young children at home? Y/N
Why are you seeking help at this time?
When did you first become aware of the main behaviour? (Please estimate if unsure)
When did the main behaviour last occur? (Please estimate if unsure)
How often does the main behaviour occur?
Select an option
Daily
Every few days
Weekly
Fortnightly
Monthly
Occasionally
Other
Do you think your dog ever feels stressed or anxious?
Has there been any type of threatening behaviour? (Choose 1 or more)
Bares teeth
Growls
Barks
Lunges
Snaps
Nips
Grabs
Bites
Other
No
When did the main incident occur? (Please estimate if unsure)
What were the circumstances?
If bitten, on what part of the body was the bite?
Can you describe the bite? (Was skin broken, punctured or torn?)
Have there been any OTHER incidents where your dog(s) threatened or bit a person or animal?
When did this incident occur? (Please estimate if unsure)
Are there any existing video clips available? (DO NOT SET YOUR DOG UP TO FAIL)
Yes
No
Upload videos / images (DO NOT SET YOUR DOG UP TO FAIL)
Select a File
Short clips of 30 seconds or less are best
Does your dog have any medical concerns?
Has your dog been examined by a vet in the last 3 months?
Yes
No
Who is your dog's vet?
What does your dog(s) do when an unfamiliar visitor enters your home?
When was the last time your dog(s) met an unfamiliar visitor at home? (Please estimate if unsure)
What are you realistically hoping to achieve with your dog?
Is there anything else you’d like to add that you think we should be aware of?
Which services are you interested in? (Choose 1 or more)
In Person Coaching Sessions
Online Video Coaching Calls
Which pricing plans are you interested in? (Choose 1 or more)
Starter Plan - Training Package
Unlimited Plan - Support Package
How did you hear about us? (Choose 1 or more)
Veterinary / Shelter Referral
Leaflet / Postcard
Word of Mouth Recommendation
Google / Internet Search
Facebook / Instagram
Banner / Poster / Sign
Advertisment
Other
First Name
Last Name
Email
Phone Number
Alternative Phone Number
Address
Send to Smart Dog Training