Name
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First Name
Last Name
Email
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Phone
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(###)
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####
Street address / City
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Parking availability at your home
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How did you hear about me?
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Your dog's name
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Your dog's sex
Male
Female
Your dog's age (or buest guess)
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Your dog's breed (or best guess)
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Your dog's weight (approximate)
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Is your dog neutered/spayed?
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Yes
No
Not yet
How long has this dog been in your care?
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Is this your first dog?
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No
Yes
Yes, as an adult
My dog lives with (check all that apply):
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Me
Other adults
Children
Other dogs
Other animals
Are you currently having issues between the dog and anyone who lives in the house? If yes, explain in detail.
Is your dog comfortable being in a crate?
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Yes
Somewhat, we are working on it
Somewhat, the crate is inconsistent
No
If your dog is not currently crate trained, what concerns or limitations may be preventing that?
What tool are you currently using for walks (flat collar, harness, prong, etc.)?
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Is your dog currently on any kind of medication for anxiety or behavior issues?
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Yes
No
My dog:
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has never bitten.
has bit a dog, causing damage.
has bit a dog, NOT causing damage.
has bit a human, causing damage.
has bit a human, NOT causing damage.
If your dog has bitten a dog or human causing damage, please explain the circumstances of the bite and the extent of the damage done.
My dog (check all that apply):
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has been taught basic commands (sit, stay, come)
jumps on or lunges at people
lunges at other dogs on leash
pees in the house
destroys bedding in the crate
destroys bedding out of the crate
sleeps in my bed
barks on walks
barks in the house
chews destructively
doesn't settle down easily
play bites
does not come when called
bolts through open doors
pulls on leash
sniffs or eats from countertops
jumps on furniture that is off limits
is shy
stresses easily
has separation anxiety
urinates when excited or afraid
growls at family members
growls at new people
guards food, toys, other objects
Please list any other behavioral issues not included above.
What are your dog's best qualities? What does your dog love to do?
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What are your long-term training goals?
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When are you available for in-home sessions? (check all that apply)
Weekday mornings
Weekday midday
Weekday afternoons
Weekday evenings
Saturday mornings
I have read and understand the Dogs in Progress Training Agreement & Policies. I agree to abide by the rules and regulations and accept all terms, conditions and statements of this agreement.
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Yes
I confirm the truthfulness of the contents of this questionnaire completed by me.
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Yes
Please type your full name to serve as an electronic signature.
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