New Client Questionnaire

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Please provide the following information so we can best help you and your pet thrive! Most of our inquiries are non-pet specific, although some pertain to dogs only.

Email *

Would you like to be notified via email of our upcoming class schedule and other activities?

We publish our class schedule online, however we will also send a periodic email when new classes have been added, or we have a special event planned so you don't miss something you would like to participate in.

Yes

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Last Name primary *

Last name of the primary contact parent.

First Name primary *

First name of the primary contact parent.

What are your pronouns?

He/him

She/her

They/them

Other:

Last Name secondary

Is there another active parent?

First Name secondary

Street Address line 1 *

Street Address line 2

City *

State *

Zip *

Is there a secondary address?

Phone # primary *

What number would you like us to use normally?

Phone # secondary

Is there a backup phone number you would like us to document?

Emergency Contact

First and last name, telephone number and any other relevant information of an emergency contact, for the pet and/or the human. (relationship, location, email, etc.)

Are there children in the household? *

Yes

If yes, please provide more information...

Please provide the names and ages of the children in your household. Are there are any special circumstances you would like us to know about?

How many adults are in the household?

Are there other pets in the household?

Yes

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If yes, please provide more information...

Please provide the species and ages of the other pets in your household, and any other information you would like to share.

How do you best learn?

As the human learner in the training scenario, with what methods to you learn and retain information the best? Check all that apply.

Visual: learn with pictures, graphs, colors or images; use mind maps

Auditory: learn by using sounds, rhyming or music; listen to music in background

Verbal: learn with speech, writing or talking

Physical: learn using body and hands-on activities; use writing, drawing, role-playing

Logical: learn with logic and reasoning; understand the big picture

Social: learn best in groups or other social setting; share learning with others

Solitary: learn best by working alone; create personal interest in topics

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