TRAINING EVALUATION FORM
The Training Evaluation and Contact Form will provide us with all of the information needed to get you started. Please take the time to enter as much detailed information about your dog, training goals and expectations. Once submitted, we will contact you to book the initial consultation or to answer any questions that you may have. Please submit ONE form per dog. For additional information about our services, you can also email or call us anytime. We will be happy to help you! Thank you.

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Email *
Name *
Phone number(s) *
Address
Your dog's name *
Age *
Birthday *
Breed *
Sex *
Is your dog spayed/Neutered? *
List any current or past injuries, medical problems and/or allergies. Is your dog on any medications?     (N/A for not applicable) *
Where did you get your dog? *
How old was your dog when you brought him/her home? *
What type of food do you feed your dog? (Dry kibble, Raw, Homemade etc) Please specify the brand *
Housebreaking Results *
Required
Are your dog's vaccinations up to date? *
Do you have pet insurance? If you answered yes, please specify the insurance company. *
Please describe how things are going with your dog and what you hope to achieve with the training. List your main goals and expectations. The more information you provide the better. *
Please indicate the behaviours you are finding challenging and need help with. (Check all applicable) *
Required
How often is your dog exercised? *
How long are the exercise periods? *
Where does your dog sleep/nap? Select all that apply *
Required
How often is your dog left alone? *
Do you trust your dog to be loose when nobody is home? *
Where does your dog stay during the day? Select all that apply *
Required
Do you have other pets? (Cats dogs etc.) Please specify. *
How many people in the same household? *
Number of children and their age? *
What other types of activities do you do with your dog and their frequency? (Ex: Dog park, biking, current training, fetching etc.)
Which program(s) are you interested in? *
Required
What's the best way to get in touch? *
How did you hear about Kinergy Canine? *
Is their any other important information you'd like to share before submitting the form? *
Don't forget to click SUBMIT!
Thank you! We look forward to hearing more about you and your dog! We'll be contacting you soon.
A copy of your responses will be emailed to the address you provided.
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