Owner's Full Name (required)
Home Address (Street, City, Zip Code)
Contact Phone (required)
Your Email (required)
How did you hear about us?
Dog's Name (required)
Dog's Breed (required)
Dog's Sex (required) ---MaleFemale
Dog's Age (required)
Dog's Weight (required)
Who will be responsible for the dog's training? (required)
Are there minors in the household? (required) If yes, please list their ages?(required)
Have you owned a dog before? If yes, what type? How were they trained?
Why did you get a dog? CompanionProtectionFor ChildRescued him/herJust wanted one
Are there other pets in the home? Species? Ages? Sex? (Required)
How much time do you have to train your dog each day? I am way too busy to train my dog20 minutes per day40 minutes per day1 hour per dayAs much as needed
What type of housing do you live in?
Is your dog allowed free range of the home? YesNo
Does your dog chew, steal or destroy things inappropriately? YesNo
Is your dog accustomed to being crated or confined? YesNo
How does he/she behave when crated? (required)
What, if anything, is inside your dog's crate? A bed, blanket? (required)
Is your dog allowed on furniture? YesNo
Are you aware of how your dog behaves while you are not home? Is barking or separation anxiety an issue as far as you can tell?
How often is your dog exercised? How?
Check off all that you feel describes your dog's personality. NervousHigh StrungStubbornSuspiciousAbove Average IntelligenceAverage IntelligenceSlow to LearnVery AffectionateDominantSubmissiveSensitiveIndependentProtectiveUnpredictableSpoiledPrey DrivenPrefers dogs over peoplePrefers people over dogs
Does your dog exhibit fears or phobias? (Thunderstorms, noises, fear of objects?)
Is your dog possessive of food, toys, or bones? Please explain.
How would you describe your dog's general social skills? ExcellentNeeds WorkPoorUnknown
Describe your dog's behavior if passing other dogs on walks.
Collars you have used or tried previously (please check all that apply) Prong or Pinch CollarChoke CollarElectronic CollarBuckle, Nylon or LeatherBody HarnessHead HarnessMartingaleOther
What are your top three training goals? (required)
What is your dog's training history?
Which cues/commands does your dog know? SitStayDownComeHeelLeave It
Out of 10 times, how reliable are they on the above commands?
Your dog's food is... Available 24 hours a dayFed at specific times
Will he/she sit and wait for food until released? YesNo
Would you describe your dog as... UnderweightIdeal WeightOverweight
Is your dog sensitive about any body part being handled or groomed?
Does your dog exhibit any odd or strange behaviors? (Repetitive behavior, obsession, confusion)
Is your dog spayed or neutered? YesNo
Is your dog currently taking any medications or supplements?
Has your dog ever bitten another dog? If so, please explain. (required)
Please check any of the below which were a result of the incident. PuncturesStitchesVet VisitsNot Applicable
Has your dog ever bitten a human? If yes, how many times? (required)
Thanks so much for completing this Questionnaire in its entirety! It will help us to help you and your dog in the best way possible!
Please prove you are human by selecting the Cup.
