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Training Questionnaire Form
Training Questionnaire Form
Contact Us
Name:
Area Code
Phone:
Email:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dog' Name
Dog' Age
Approximate Weight (In Lbs)
Breed
Where did you acquire your dog?
Dog's Veterinarian
Veterinarian's Phone number and address.
Please, list any known medical conditions.
Is your dog spayed/neutered?
Yes
No
How old was your dog when you brought him/her home?
What food is your dog eating?
Have you ever owned a dog previously?
Yes
No
I grew up with dogs, but this is my first dog as an adult.
Please, list any other animals in the house.
How many adults are in the home?
How many children are in the home?
Has your dog bitten a human?
Yes
No
Behavioral Concerns (Check all that apply) *Please, understand that reactivity is defined as a negative emotional response.
Puppy nipping/mouthing.
Biting (No blood drawn/ No medical attention)
Jumping on people.
Pulling on leash.
Begging for food.
Excessive barking inside the home.
Excessive barking in crate.
Destructive behavior in crate.
Destructive behavior outside the crate.
Reactive to other dogs on leash (barking, lunging, etc)
Reactive to other dogs off leash (barking, lunging, etc)
Reactive to people inside the home/property.
Reactive to people outside the home/property.
Muzzle needed at groomer or vet
Growls over food
Growls over toys
Growls over a space (kitchen, bedroom, couch, bed, etc)
Growls over you or a member of the house.
Fights with other animals in the home.
Fights with other animals outside the home.
Eats feces
Marks inside the house
Reliably potty trained
Crate trained
Regularly crated
Doesn't ride well in vehicles
Doesn't do well with nail trims
Shows anxiety or fear
Afraid of loud sounds (ie. fireworks or thunder)
Does not come when called.
Doesn't listen to commands (ie. sit, down, etc.)
I feel like my dog is "stubborn"
I feel as if my dog is "blowing me off" when I give commands.
None of the above
If you have checked 'None of the above', please explain here.
How long has this been an issue?
Please describe your dog training goals:
Which program are you most interested in?
Private Lessons
Board and Train
CGC or S.T.A.R. Puppy
Do you understand that dog training requires patience and consistency from all members of the household?
Yes
Do you understand that once you begin a program there are no refunds?
Yes
How did you hear about us?
Internet Search
Facebook
Instagram
From my Vet
Word of Mouth/From a Friend
Other
If referred by a friend, please tell us who so we can thank them:
Thank you for contacting us.
We will get back to you as soon as possible.
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Let's make your dog a
"Clever Dog"
Today!
(636) 329-4442
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(636) 329-4442
Greater St. Louis Area, Missouri
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