Training Questionnaire

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Name: *

Address: *

Phone: *

Ok to text? (Initial consult will be by phone) *

Yes

Email: *

Dog's Name: *

Dog's Breed (Best Guess): *

Dog's Age: *

Dog's Gender Status: *

Spayed

Intact Female

Neutered

Intact Male

From where did you obtain your dog? *

List any and all problem behaviors: *

When did the problem behaviors start? *

List any and all beneficial behaviors: *

List any and all previous training experience for human and/or dog: *

List names and ages of all members of the household: *

Will any of the above be involved in training? *

List any and all training goals: *

List any other animals in the household (breed, age, size): *

List and describe any biting, growling, lunging, or aggressive behavior toward any human or animal: *

How much time per week are you able to dedicate to training on your own (practicing)? *

Do you have any physical limitations that need to be considered during training? *

What time of day/day of the week works best for you for dog training? *

What type of collar or harness are you currently using? *

What priority does training your dog have compared to other aspects of your life? *

high priority/very urgent

medium priority/somewhat urgent

low priority/not urgent

Does your dog have food allergies? *

Any recent changes in your dog's health? *

Veterinarian/Vet Clinic: *

Is your dog current on rabies and DHLPP?

Yes

No (please add details in comments below)

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Vaccination Date-DHLPP?

YYYY

Vaccination Date-Rabies *

YYYY

Can we use photos of you and your dog in our advertising? *

Yes

How did you hear about us/who may we thank for the referral?

Any additional comments or questions?

I assume full liability and responsibility for my dog’s actions during and outside of training sessions and classes. I understand that a trainer/instructor cannot predict or control my dog’s behavior and I do not hold the trainer, instructor, or Peaceabull Paws liable for injuries, incidents, or damages. Although the trainer can provide recommendations, equipment used in dog training is my choice and my responsibility only. I understand that classes, including dog sports such as nose work, disc classes, and agility, are active endeavors and I assume responsibility for any injuries my dog sustains while participating in these activities. I will not hold the trainer, instructor, or Peaceabull Paws LLC liable for any injuries or incidents to other animals, humans, or property during or relating to dog training services or classes.

I agree

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Date *

YYYY

Type Name (Signature) *

Submit

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