New Client Training Form Client Information LinkedInThis field is for validation purposes and should be left unchanged.Name First Name Last Name Date DD slash MM slash YYYY Other Family MembersPhoneEmail Address(Required)Please provide Street, City, State, Zip Code Dog name, breed, ageHow did you hear of us?Have you moved with your dog within the last 12 months?Select an optionYesNoHave you added or lost any pets within the last 12 months?Select an optionYesNoDog InformationWhere did you get your dog?How long have you had your dog?List all medications your dog is currently takingVet ClinicVet's NameOther pet's in the homeName, Age, Breed, F/M, Fixed? Your Dog's Lifestyle Where is your dog when they're home alone?Where does your dog sleep at night?Does your dog have a crate?If so, does your dog like the crate? Where is the crate located? Does your dog chew or destroy the crate? How many hours does your dog spend alone each day?What kind/brand of food do your feed your dog?How much and how often does your dog eat?Is food left out during the day for your dog to eat?What kind of toys does your dog have daily access to?How long does your dog play with toys?Where are the toys kept when not in use?How often does your dog go on a walk?Who walks your dog? How long is the walk? What does your dog wear on a walk?(Harness, No-Pull Harness, Prong/Chock Collar, Head Halter, etc.?) Does your dog have any other exercise activities?Do you ever walk your dog off leash?Select an optionYesNoDo you take your dog to dog parks?Does your dog pull on walks?Select an optionYesNoIf your dog pulls, what have you tried to change his behavior?Your Dog's History Has your dog ever growled at a person or dog?Select an optionYesNoIf yes, please describe what happened:Has your dog ever nipped/bitten a person or another animal before?Select an optionYesNoIf yes, please describe what happened:Is your dog fearful or nervous about certain people/dogs/situations?Select an optionYesNoIf yes, please describe:How does your dog respond to new people in your home?How does your dog respond to grooming or bathing?What is your reaction when your dog ignores you?What trainers, boarding facilities, or pet services have you used for your dog in the past?(Name/City)Please list any training tools you have used.(Ex. Martingale Collar, Prong Collar, Choke Chain, E-Collar, Bark Collar, Citronella Collar/Spray, Spray Water Bottle, Clicker, Extendible Leash, Front-Attach Harness, No-Pull Harness, Regular Harness, Head Halti, Gentle Leader, or Others:) Your Dog’s Training Goals 5 Things You Like About Your Dog:5 Things You Wish You Could Change About Your Dog:What made you reach out to us for training assistance?What would you like to accomplish through training?Thank you for taking the time to fill out our registration form! These details will help me better help you and your dog. I look forward to working with you! Δ