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Assessment
Our evaluation form is designed to help us get to know your dog. We understand that each dog is unique, and we want to create the best plan for their individual needs. We ask that you provide us with as much information as possible so that we can create the best training plan for them.
* Indicates required question
Owner's Name
*
Your answer
Email
*
Your answer
Contact Number
*
Your answer
Secondary Phone Number
Your answer
Social Media
Your answer
Preferred Contact Method
*
Email
Phone
Social Media
Required
Dog's Name
*
Your answer
Breed
*
Your answer
Age
*
Your answer
How long have you owned your dog? Any previous owners?
*
Your answer
Pertinent Medical History
*
Your answer
Is your dog up to date with vaccines?
*
Yes
No
Describe your dog's home environment
*
Include all people and other animals living in the household.
Your answer
Is your dog crate trained?
*
Yes
No
Is your dog potty trained?
*
Yes
No
Diet & Feeding
*
Include that brand, quantity and frequency of feeding.
Your answer
Has your dog bitten another dog, human or child?
*
Yes
No
Has your dog ever gotten into a fight with other dogs?
*
Yes
No
Does your dog growl, bark or jump at other dogs, human or children?
*
Yes
No
Has your dog ever attended a training class or had a trainer come to your home?
*
If so, please describe the type of training received and results.
Your answer
What are your goals for training your dog?
*
Your answer
Anything else you would like to add about your pet’s behavior?
Your answer
Electronic Signature
*
I declare that the information I provided on this form is complete and accurate. Signed by: (First & Last Name)
Your answer
Date
*
MM
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DD
/
YYYY
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