The Dog Nerd: Training Questionnaire

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Please complete the form below to help Becki learn more about your dog and your training needs. You will receive a response within 2 business days.

Your name *

Your address *

Your phone number *

Your email *

Spouse/live in partner's name *

Other members of household and ages of children *

Dog's name *

Sex-- fixed or intact? *

Breed/mix *

Age *

Weight and color *

Where did you get your dog? *

Do you have other pets? What kinds? *

Do other dogs in the home have any behavioral concerns?

How does your dog behave at the vet? Do they have any issues handling the dog? *

Current medications including flea/tick and heartworm preventatives (all that apply) *

Oral prescription (Bravecto/Nexgard/Simparica)

Topical prescription (Vectra 3D, Revolution)

Topical over the counter (Frontline, Advantage, etc)

Heartgard

Interceptor

None

Other:

Required

What is your dog's diet? *

What are your immediate and future goals for training? *

What kinds of training have you done in the past? *

Is your dog crate trained? How often do you use the crate? *

Is your dog allowed to run free in your yard? *

Yes

supervised only

unsupervised

n/a

is your dog allowed on furniture? *

Yes

with permission

How does your dog react when you leave the house? *

How is your dog on leash walks? *

What kind of collar/harness do you use to walk them? *

Do you let your dog meet other dogs on leash and how does it go? *

How does your dog react when people enter your home? *

Is your dog startled or scared of loud noises? *

Yes

Is your dog possessive/growled/snapped/bit over food, toys or other objects? *

Yes

If yes, please describe:

Has your dog ever growled at anyone for any reason? Please provide details if yes. *

Has your dog ever bitten a human? Even snapping or nipping that doesn't leave any marks. If yes, please describe when and extent of injury. *

Has your dog ever bitten an animal? Even snapping or nipping that doesn't leave any marks. If yes, please describe when and extent of injury. *

Does your dog have any obsessive behaviors? Please describe. *

Are there any other behaviors or problems you'd like addressed? *

What are your dog's best qualities and what do you love most about them? *

Any other questions at this time?

What program(s) are you interested in? *

Quickstart

In person sessions

Remote sessions

Board & train

Other:

Required

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