Client Evaluation Questionnaire
The first step to working with us is to fill out this QUESTIONNAIRE. Please include honest information on all dogs living in the house hold. You may fill out multiple questionnaires if you have more than one dog.
Email address *
General Information
Human Name *
Your answer
Phone *
Your answer
Address *
Your answer
We’ve created an email database to provide clients with diverse, helpful dog resources from local dog friendly places to tips on behavior. Would you like to be added? *
How did you hear about me? *
Your answer
Dog Name *
Your answer
DOB/Age *
Your answer
Weight *
Your answer
Breed *
Your answer
Sex *
Spayed/Neutered *
How long have you had your dog? *
Your answer
How was your dog acquired? *
What type of home do you live in? *
Do you have a fenced in yard? *
House trained? *
Crate trained? *
Pulls on leash? *
Is your dog hyper? *
Does your dog jump on people? *
Does your dog bark? *
Do you ever take your dog off leash? *
Does your dog allow you to groom them? *
Does your dog allow you to pick them up? *
Is your dog an escape artist? *
Where does your dog sleep? *
Your answer
How often do you walk your dog? *
Your answer
Behavior & History
Is your dog reactive or aggressive on leash? *
Does your dog growl? *
Has your dog bitten? *
Is your dog aggressive towards people? *
Is your dog aggressive towards dogs? *
Has your dog ever injured a human, dog, or other animal? *
If so, explain the circumstance(s) in as much detail as possible: *
Your answer
Has your dog ever been muzzled? *
What types of games do you play with your dog? (ex: tug, ball, chase, wrestling) *
Your answer
What types of toys does your dog have? (ex: stuffed animals, squeaky toys, rope toys) *
Your answer
Does your dog have any health problems or history of injury? *
If yes, provide details: *
Your answer
What tools do you use to help their behavior? (ex: remote collar, gentle leader, prong collar) *
Your answer
What commands do you use with your dog? *
Your answer
Do you use treats? *
Have you seen previous trainers? *
If yes, did you experience positive change? *
Your answer
How does your dog react with strangers coming in the home? Please explain in as much detail as possible: *
Your answer
Does your dog know when you are upset with their behavior? *
If yes, how does your dog respond? *
Your answer
Does your dog show signs of submission? *
What are your goals for your dog? Please list in order of importance. *
Your answer
Are there other dogs in the house? If yes, please fill out a questionnaire for each dog. *
A copy of your responses will be emailed to the address you provided.
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