Training Class Questionnaire

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Human First Name *

Human Last Name *

Phone Number *

City *

Dog's Name *

Dog's Age *

8 weeks - 3 months

4 months - 6 months

6 months - 12 months

13 months - 2 years

3 years and older

Dog Size *

Small (<20 lbs)

Medium (20-40 lbs)

Medium/Large (40 lbs - 60 lbs)

Large (60-90 lbs)

Extra Large (>90 lbs)

Equipment Used *

Select all that apply.

Cloth collar

Metal collar

Back-clip harness (leash attaches at dog’s back)

Front-clip harness (leash attaches at dog’s chest)

Head halter

Retractable leash

Fixed length leash

Other

Required

Dog's Traits *

Select all that apply.

HHS adopted

Been in the home for 3 weeks or less

Been in the home for 3 weeks - 3 months

Been in the home for 3 months - 6 months

Been in the home for longer than 6 months

For dogs that are older than 9 months, has bitten or growled at humans

When off leash, usually plays well with non-familiar dogs

When off leash, does NOT usually play well with non-familiar dogs

I am not sure how well my dog plays with non-familiar dogs

Required

How did you hear about our training classes?
*

Select all that apply.

Social Media (Facebook/Instagram)

Friend or family member

Search on map app

Search on internet

Event (please indicate event name below)

Search for certified/accredited dog trainer through IAABC

I am a Hinsdale Humane Society adopter

I am a Hinsdale Humane Society volunteer

Other:

Required

I learned of your training classes at this event:

Training Goals / Behavioral Issues *

Additional Comments or Concerns (including health concerns or conditions) *

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This form was created inside of Hinsdale Humane Society.