Loose Leashes Dog Training Form

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Please complete this form and submit within 24 hours from scheduling training session. Please be prepared to spend some time on this form. ALL FIELDS ARE REQUIRED AND REQUIRE DETAILED INPUT AND INFORMATION.

Email *

About You

Full Name *

Street Address *

City / State / Zip *

Phone number *

If applicable, what is your existing appoint date/time?

YYYY

Dog's Information - General

Please complete to the best of your ability.

Name *

Age (Years or Months/Weeks) *

Microchipped? *

Yes

I don't know

Breed *

Gender *

Male

Female

Is your dog: *

Spayed

Neutered

Not Altered

Dog's Information - Behavior

Please give detailed answers. Describe your dog's behavior in relation to the following items. Please place none or n/a in text boxes with no answer. All fields are required.

Separation or other anxiety *

Chewing *

Excessive barking *

Digging *

Inappropriate urinating *

Begging *

Chasing (cars, animal, people, etc.) *

Protective (house, family, etc.) *

Jumping up *

Biting *

Aggression *

Fear of loud noises/objects/people *

Resource guarding (protective of bones, food, toys, people) *

How does this dog respond to CATS? *

How does this dog respond to OTHER DOGS? *

How does this dog respond to STRANGERS? *

How does this dog respond to CHILDREN? *

What is your dog's behavior like in the home? *

Lays around a lot and takes lots of naps

Constantly in to everything and pacing around looking to get into stuff

Somewhere in between

Dog's Information - Leash

Do you walk your dog regularly? If yes, how often? *

Does your dog pull on the leash? *

Yes

What kind of leash do you use? *

Flexi Leash

Standard Leash

Other:

What kind of collar or harness to you use? *

Is your dog reactive when on the leash? (reactive to dogs, people, cats, cars, bikes, squirrels...) *

Yes

Does your dog stop often to sniff and potty/mark? *

Yes

Dog's Information - Training

Please provide details and do not leave any information blank. Please type NONE. All field required.

Is this dog housebroken? *

Yes

Has this dog had formal obedience training? *

Yes

Does this dog know any commands? If yes, explain. *

Has this dog been crate trained? How do they act in crate (calm, barks, etc.)? *

Is your dog food motivated (will work for food/treats)? *

Yes

Human Information - About You

Please answer fully and be honest.

What is your skill set with dog training? *

Good training background and a lot of knowledge on dog behavior

You know a few things about training and dog behavior

Novice (you know very little about training or dog behavior)

Do you feel you have given your dog more... *

love and affection

rules and structure

As a dog owner, do you consider yourself... *

Strict (Demanding, a strong leader, dog must sit for a cookie and follow my rules)

Lenient (a little wishy washy, can an easily be coerced by my dog)

Somewhere in between

Do you free feed your dog? *

Yes (I leave food down all day for them to pick on)

No (We have a set feeding time, then bowls are put away - or they're empty)

OTHER: Any additional information you wish to add.

A copy of your responses will be emailed to the address you provided.

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