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FeverFit K9 - New Client Information
Prior to meeting together for the first time, please fill out this form, so I get to know a bit about you and your dog.
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Name (First and Last)
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Your answer
Email
*
Your answer
Phone number
*
Your answer
Now, let's find out about your dog
Depending on your answers, I may reach out for additional information
What is your dog's name?
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Your answer
How old is your dog?
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Your answer
What breed is your dog?
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Your answer
How much does your dog weigh?
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Your answer
Does your dog have any known injuries or current medical conditions being treated by a veterinarian? (If yes, please describe.)
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Your answer
Is your dog spayed or neutered? If yes, at what age?
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Your answer
Has your dog ever had surgery other than spay/neuter? (If yes, please describe.)
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Your answer
Does your dog have any allergies? (If yes, please describe.)
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Your answer
Does your dog have any issues with bowel or bladder control? (If yes, please describe.)
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Your answer
Does your dog have a bite history? (If yes, please describe.)
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Your answer
Is your dog reactive to anything - people, other dogs, specific objects? (If yes, please describe.)
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Your answer
What is your dog's primary job or sport?
Your answer
What are your fitness goals for your dog?
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Your answer
What does your dog currently do for fitness training?
Your answer
What foundation behaviors does your dog know?
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Duration/Stillness
Front Foot Targeting
Rear Foot Targeting
Individual Foot Targeting
Positions (Stand, Sit, Down)
Nose Touch
Other Face Targeting - i.e. Chin Rest, Bridge Hold
Back Up
Spin (Both Directions)
Pivot
Side Step
Cone Wrap
Required
Is your dog familiar with unstable or inflatable equipment?
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Yes
No
Do you own any canine fitness equipment?
Balance Pad
Disc
Ramp/Wedge
Paw Pods
KLIMB
Cato Board
Peanut
FitBone
Donut
Donut Holder
Wobble Board
Rocker Board
Cavaletti
Canine Treadmill
Other:
Do you, as the handler, have anything I need to be aware of in terms of time restraints or physical restrictions for training? (If yes, please describe.)
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Your answer
Please list names and contact information for any other members of your dog's care team (general vet, rehab pro, massage therapist, etc)
*
Your answer
Liability Release and Payment Information
Once I receive this form, I will send a liability waiver and invoice to the email indicated above.
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