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Questionnaire
Questionnaire
Name
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Name
First
First
Last
Last
Email
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Phone
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Address
May I text your phone?
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Yes
No
Best time to call?
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Morning
Afternoon
Evening
Dog Info
Dog’s Name
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Dog’s Sex
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Is your dog spayed or neutered?
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What breed is your dog?
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What is your dog’s age?
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How long have you owned your dog?
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Where did you get your dog?
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Health Info
Is your dog current on recommended vaccinations?
Is your dog currently on any medications? If yes, please list and state reason medication is used.
What brand of dog food do you use?
What is your feeding schedule?
Fed on set schedule
Free fed (food available all day)
What type/how much exercise does your dog get daily?
Does your dog have an injury or are they prone to an injury that could affect their ability to train?
Dog Behavior
What obedience behaviors can your dog perform consistently?
Is your dog crate trained?
Yes
No
What training tools/methods have you used/do you currently use?
Harness
Head halter i.e. Gentle Leader or similar
Flat collar
Pinch/Prong or Choke collar
Electronic Collar
Invisible Fence/Perimeter Fence Collar system
Other
Are you opposed to using any of the following training tools?
Treats
Clicker
Head halter i.e. Gentle Leader or similar
Pinch/Prong collar
Chain/Choke collar
Electronic Collar
If you are opposed to a particular tool, is it because
I had a bad experience
My dog had a bad experience
I’m afraid I will hurt my dog
I am not familiar with it
I have heard it is a bad tool
What motivates your dog?
Food
Play/Toys
Praise/Affection
I don’t know
How do you correct or discipline your dog?
What is your dog’s reaction to correction/discipline?
Acts submissively (cowers, avoids, runs away)
Ignores
Retaliates (growls, snaps)
Accepts and moves on
What training have you done in the past? Have you used a professional trainer’s services?
What are your three biggest concerns with your dog’s behavior?
Has there been a specific behavioral incident that motivated you to seek professional training?
Yes, I have reviewed the programs and pricing offered by How2Dog on the website
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Yes
What training program are you interested in or specific areas you want to work on?
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What areas of concern do you have with your dog? Please mark all that apply.
Potty training
Crate training
Jumping on people
Destructive behavior: chewing, digging, etc.
Puppy biting or mouthing
Biting or nipping
Door dashing
Chasing or herding children, other animals, bikes, cars, etc.
Leash pulling
Lack of confidence/fearfulness
Over-protective
Easily distracted
Runs away (runs from property or car and will not return)
Inability to settle at home
How does your dog react to new people in public?
How does your dog react to new people at home?
How does your dog react to other dogs or animals in public?
How does your dog react to other dogs or animals at home?
Which best describes your dog’s attitude towards other dogs/animals:
Friendly/playful
Unsure/insecure
Disinterested (doesn’t care)
Avoids (tries to move away)
Aggressive (barking/growling, tries to get away from you and get to the dog)
Has your dog ever bitten another dog or been bitten by another dog and were there injuries?
Did the injuries require medical treatment?
Yes
No
Does your dog allow you to take away a valuable item or forbidden object?
Yes
No
Not Sure
If ‘No’ please describe their response:
What happens if you interrupt your dog while eating?
Doesn’t care
Tries to eat faster
Freezes/stands stiffly over their bowl
Growls, snaps or bites
Please list the all members and the ages of the household members who live with your dog?
Who do you think your dog sees as the leader (responds most consistently to) and why do you think this is the case?
Please provide any other information you feel is important for us to know about you and your dog:
Yes, I understand that there is a $100 consultation fee if I schedule a consultation/evaluation (this cost will be deducted from the total price of a training package, if a training package is booked).
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Yes
Consent
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I consent to receiving text messages and emails from How 2 Dog LLC
If you are human, leave this field blank.
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