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PAWS AND THANK YOU

Dog Training and In-Home Grooming

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Private Training Client Consultation

Please answer the questions that follow as thoroughly as possible. This form should be completed at least a week prior to the training appointment. All answers are confidential and will help me serve you better.

Client Information

First Name

Last name

Phone

Address

Basic Dog Information

Dog's name

Age

Breed

Weight (lbs)

Sex *

Female Intact

Male Intact

Female Spayed

Male Neutered

How long have you had your dog?

Where did you obtain your dog? *

Breeder

Rescue/ Shelter

Pet Store

Other

Have you owned dogs in the past? *

Yes

Did your dog have previous owners? *

Yes

Not sure

If your dog had previous owners, why was the dog given up?

Dog Medical Information & History

Veterinary Clinic Name

Is your dog up to date on all required vaccinations? *

Yes

Current medical Conditions

Current Medications

Enter text here Is your dog easily handled by vet staff? *

Yes

Enviroment

List all people including yourself who live in your household. Please include their name, age, and relationship to you.

Do you have other pets? If yes, please list what species, breed, age, sex, spay/neuter status?

Training History

What level of training has your dog received? *

No Training

Trained Ourselves

Basic Manners Class

Board & Train

Private Training

Other

On average, how much time are you able to spend working on training/behavior modification exercises throughout the day and/or week?

Behavioral History

Select all behaviors that apply to your dog. * Required

Mouthing, nipping or play biting

Guards food/toys/chews

Excessive barking

Fearful/ Anxious

Jumps on people

Pulls on leash

Growls at family members

Growls at strangers/ groomer/vet

Growls at other animals

Has a bite history

Has your dog ever bitten another human or animal? *

Yes

If you answered yes to the previous question, please describe in as much detail as possible.

Please list what would you like help with, in order of importance?

Is there anything else you feel it would be important for me to know?

I verify that the above information is correct to the best of my knowledge.

Your Signature

Thanks for submitting!

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