Please complete the form below

Provide as much detail as possible

If there is more than one family dog involved or more than one dog you want to work with, you must complete a separate form for each dog.

Name *
Name
Spouse/partner *
Spouse/partner
Cell phone number *
Cell phone number
Address *
Address
Your Dog's General Information
Gender *
Spayed/Neutered? *
These should be things you want your dog to do instead of the problem behaviors.
What days of the week would you prefer to schedule your lessons? *
I see clients in the mornings and evenings. What time of day would you prefer to schedule your lessons? *
Background and history
Did you get your dog from a breeder? *
If no, skip to lifestyle section
Was your puppy shipped to you? *
If no, skip to lifestyle section
Your dog's lifestyle
If there are conflicts between your dogs you must fill out a form for each dog.
Please check what type of home you live in. *
Is your dog crate trained? *
Does your dog use a dog door? *
Do you have a fenced yard? *
Do you use an electric fence? *
Where do you walk your dog? Check all that apply. *
Do you take your dog to dog parks? *
Your dog's Medical And Health Information
Training And Behavior
Organization name, trainers' name
In your previous training, what was used to train your dog? *
Your Dog Vs. Other Dogs (Put N/A in all the fields if you are not seeking help for a dog vs dog related issue)
Barks, pulls on leash, lunges, growls, air snaps, bites, hackles up, tries to hide, sniffs quietly, etc.
Barks, charges, lunges, growls, air snaps, bites, hackles up, runs away, hides, sniffs quietly, etc.
Excluding dogs he/she lives with
Please check all the equipment you use with your dog *
Your Dog Vs. Humans
Barks, charges, lunges, growls, air snaps, bites, hackles up, runs away, hides, sniffs quietly, etc.
Barks, charges, lunges, growls, air snaps, bites, hackles up, runs away, hides, sniffs quietly, etc.