JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Training Academy Questionnaire
TA Client Questionnaire
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Are you currently utilizing any Crate Escape services?
*
Belmont Camp Crate/HSH
Charlestown Camp Crate
Charlestown HSH
Suite Escape
Crate Escape Too Daycare
Walking
Grooming
None/New Client
Owner(s) First and Last Names
*
Your answer
Email(s) & Phone number(s)
*
Your answer
Dogs name
*
Your answer
Age and breed
*
Your answer
Is your dog spayed/neutered? Up to date on vaccinations? (We do require proof of vaccination)
*
Your answer
Does your dog have any medical issues? On any medications? Allergies?
Your answer
Is your dog crate trained? How often does your dog go in the crate? On a scale of 1 -5 how does your dog like being in the crate? (1-hates it 5-loves it)
*
Your answer
If your dog is not crate trained, are you open and willing to crate train if it is beneficial to the success of your dogs training?
*
Your answer
Does your dog have temperament issues? (ex. fear, aggression, etc.) If yes, please explain.
*
Your answer
Has your dog ever displayed aggression toward people (children or adults)? (growling, snapping, etc) If yes, please explain.
*
Your answer
Does your dog have handling issues? (Brushing, grabbing collar, ear cleaning, nail trimming, bathing, being picked up etc.) If yes, please explain
*
Your answer
Does your dog become possessive over objects or food from people? If yes, please explain.
*
Your answer
Has your dog ever displayed aggression toward any animal (dogs, cats, etc.)? Has your dog ever been involved in a fight with another dog? If yes, please explain the situation(s).
*
Your answer
How would you describe your dogs energy level? Low, moderate, high
Your answer
Does your dog socialize with other dogs? Where and how often? (Include any previous daycare and/or training experience here)
*
Your answer
Is your dog food motivated?
*
Yes
No
Is your dog reactive on leash? Specifically to what? Any prey drive? (Runners, bikers/scooters, children, dogs, people, rabbits, squirrels, etc.) What does your dog do? (lunge, bark, growl, chase, freeze, etc.)
*
Your answer
Does your dog run away from you, jump fences, or are they an overall flight risk? If yes, please explain.
*
Your answer
Is your dog shy or timid in new places or with new people? If yes, please explain.
Your answer
Is your dog sound sensitive or reactive to sounds? (door bells, thunderstorms, fireworks, trucks, etc.) If yes, please explain.
*
Your answer
Who is the primary handler of the dog at home? We find it most effective for our trainers to focus on working with one family member to help set the dog up for success.
*
Your answer
What are you hoping to gain from working with our Training Academy team?
*
Your answer
What Training Academy programs are you interested in joining?
*
Group Class: AKC STAR Puppy
Group Class: AKC Canine Good Citizen
Training Academy 3-4 week program
Private Training Sessions: Crate Escape Facility
Private Training Sessions: In-Home
Required
How did you hear about us?
*
Current client (please write their first and last name for a referral perk in the "Other" section below)
Google
Flyer/Mailer
Facebook/Instagram
Dog Park
Other:
Add anything here you think we should know about your pup that this questionnaire hasn't covered!
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report