Name
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First Name
Last Name
Phone
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(###)
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####
Email
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Address
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Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
How did you hear about us? (Social media, previous client, advertising, etc.) We like to thank those that send people our way!
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Dog's name:
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Sex
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Female
Male
Age/DOB (if known):
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How much does your dog weigh?
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Is your dog purebred or mixed breed?
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What breed? (Or best guess if unknown)
Where did you get your dog from? (Breeder, rescue, family member, etc.)
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Is your dog:
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Spayed/Neutered
Intact
At what age was your dog spayed/neutered? (Write N/A if your dog is still intact)
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How long have you owned your dog?
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What veterinarian do you use?
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What other people/dogs/other animals are living in the home? (Please be specific: name/age/species)
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What brand of food do you feed? How much? How frequently? Do you feed anything outside of their regular diet?
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Please list any medications/supplements/vitamins your dog takes.
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Does your dog have any medical issues or allergies we should be aware of?
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If your dog has allergies, what are the usual symptoms of a flare up?
Is your dog crate trained?
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How is your dog typically confined during the day? (Crated, gated in a room, outdoor kennel, etc.)
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Where is your dog at night?
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Is your dog allowed on furniture?
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What is the typical exercise routine for your dog? (How much/how frequently/what kind)
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Is your dog destructive in your home? If so, please describe.
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What are the main behavioral issues you are experiencing with your dog?
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Is this the first time you are seeking a trainer's help for this current dog?
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If you have previously worked with another trainer, what tools and techniques did you try?
Do you have any previous experience with training collars? (Choke chain, prong collar, martingale, gentle leader, e-collar, invisible fence, etc.)
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We reach out to you during your dog's stay to let you know that your dog was scratched in a playgroup or has developed a cough or runny eyes. What is your response?
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How would you generally describe your dog? (Anxious, hyper, laid back, shy, assertive, etc.)
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How would you describe your dog on leash?
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Please check all that apply:
Walks with a loose leash
Pulls towards smells and other distractions
Pulls constantly
Pulls towards other people when they pass
Pulls towards other dogs when they pass
Barks at people when they pass
Barks at other dogs when they pass
Fixates on other dog or person even after they've passed
Takes a while to calm down/recover after a person/dog has passed
Is fearful when a person passes
Is fearful when another dog passes
Is fearful of cars/loud noises
Any other notes or details about walks that weren't addressed above:
How does your dog act around other dogs? (Aggressive, fearful, playful, standoffish, indifferent, etc.)
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Does your dog display any aggressive behaviors over food, people, objects, furniture, etc.? If so, please describe.
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Has your dog ever bitten another dog or human before? If so, please describe any and all incidents in detail.
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What commands do you feel your dog has a good understanding of?
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What is your favorite thing about your dog?
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What are your training goals for your dog?
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What training program are you interested in?
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(If you're unsure of the options please check out my services page (https://qadog.co/services))
Any other notes or details you would like to include.