Owner Information

Introductory Message

Email

How did you hear about us?

Names of people in household

Please provide ages of any children

Dog Information

Dog's name (or Dogs' names)

Dog's Age

Dog's Weight (approx)

Dog's Breed or Mix

How long have you had your dog?

Shelter, Rescue, or Breeder name

Dog's Age when acquired

What information, if any, do you have about his/her previous life?

Other animals in household

Please describe your dog's behavior problems, in as much detail as you wish

How often and in what context do the behavior problems occur?

What has been done to work on the problem(s)?

Do you know whether your dog ever suffered a traumatic event? An attack by another dog or an issue with a human? If so, please explain

Veterinarian

Does your dog have any known physical problems?

Is your dog on any medication? If so, please list them

What kind of food do you give your dog?

Where does your dog sleep?

What kind of exercise does your dog get on a daily basis?

Please describe the previous training your dog experienced

Does your dog go to daycare or have a dog walker?

Activities and food your dog likes

How long is your dog typically left alone?

What makes your dog get excited?

What are your goals for your dog?