Your Information

First Name *

Last Name *

Email *

Phone Number *

Street Address *

City *

State *

Zip Code*

Who can we thank for the referral/ how did you hear about us? *

About Your Dog

Dog's Name *

Breed *

Dog's age *

Dog's weight *

Is your dog spayed/neutered? * Is your dog spayed/neutered? *YesNo

How long have you had your dog? *

Dog Health & Home Environment

Does your dog live primarily inside or outside? * Does your dog live primarily inside or outside? *InsideOutside

Time spent playing actively with owner. Please include location and how many times a day. Describe activities that take place: *

Does your dog have any food sensitivities? If yes, what? *

Current type of food? *

Date of last physical exam?? *

What medications, if any, does your dog currently take? *

How does your dog handle being at the vet’s office? *

Any known medical problems? *

List people living in the house with the dog, include children’s ages (under 18): *

Please list any other pets in the household: species, breed and age *

Previous Training & Behavior

What would you like us to help you accomplish? Please share any other thoughts or questions so that we may best understand how to guide you. *

What is your dog’s main behavior problem? *

Describe any methods used to stop the behavior and the dog’s response to these methods. *

What does your dog do on leash and sees another dog? * What does your dog do on leash and sees another dog? * Barks Growls Lunges/Pulls Snaps Hides Ignores Wiggles None

Describe any previous training your pup has had, including the name of the organization/trainer's name: *

What does your dog do when off leash and sees another dog? * What does your dog do when off leash and sees another dog? * Barks Growls Lunges/Pulls Snaps Hides Ignores Wiggles Gets overly aroused & out of control

Has your dog ever growled at a person? * Has your dog ever growled at a person? *YesNo

Has your dog ever bit a person? * Has your dog ever bit a person? *YesNo

Please describe the situation that led to the bite. *

Has your dog ever bitten a dog? * Has your dog ever bitten a dog? *YesNo

Please describe the situation that led to the bite. *

How does the dog react to strangers? Both in the home and outside *

...

What types of gear or tool have been used with your pup in the past or are currently being used? Check all that apply. * What types of gear or tool have been used with your pup in the past or are currently being used? Check all that apply. * Flat Collar (buckle collar) Slip Lead Choke Chain Prong/Pinch Collar Harness Spray Collar Shock Collar/ E-Collar/Stim Collar (vibrate, tone, stim) Head Halter Invisible Fence Other

...

Does your dog exhibit any of the following? Check any/all that apply? * Does your dog exhibit any of the following? Check any/all that apply? * Jumps on people Mouthing/Nipping Urinates when excited/greeted Pulls on leash Fearful to strangers/bites/growls Doesn't listen/come when called Rolls over & offers belly when approached Play bites Countersurfs Destructive Steals objects Anxious when left alone Reactive on leash to dogs Reactive on leash to humans None of the above

...

Does your dog work well for (check where appropriate): * Does your dog work well for (check where appropriate): * Food Ball/frisbee/retrieve game No reward Praise Petting

...

Does your dog chase (check where appropriate): * Does your dog chase (check where appropriate): * Cars Children moving/running Skateboarders Joggers Bikers/Bikes Cats or furry critters None of the above

...

I accept the terms & conditions of All About Training Dogs llc I accept the terms & conditions of All About Training Dogs llc Yes, I accept the Terms & Conditions

Your Information

First Name *

Last Name *

Email *

Phone Number *

Street Address *

City *

State *

Zip Code*

How did you hear about us*

About Your Dog

Dog's Name *

Breed *

Dog's age *

Dog's weight *

Is your dog spayed/neutered? * Is your dog spayed/neutered? *YesNo

How long have you had your dog?*

Dog Health & Home Environment

Does your dog live primarily inside or outside? * Does your dog live primarily inside or outside? *InsideOutside

Does your dog live inside or outside, most of the time?*

Time spent playing actively with owner. Please include location and how many times a day. Describe activities that take place: *

Does your dog have any food sensitivities? If yes, please explain.*

Does your dog have any food sensitivities? If yes, what? *

Current type of food? *

Date of last physical exam?? *

What medications, if any, does your dog currently take? *

How does your dog handle being at the Vet's office?*

Any known medical problems? *

List people living in the house including children's ages under 18.*

Please list any other pets in the household: species, breed, age*

Previous Training & Behavior

Please explain a typical day for your dog, including where he sleeps, when he wakes, walk times and any nocturnal activities. *

What is your dog’s main behavior problem? *

Describe any methods used to stop the behavior and the dogs response.*

What does your dog do on leash and sees another dog? * What does your dog do on leash and sees another dog? * Barks Growls Lunges/Pulls Snaps Hides Ignores Wiggles None

Describe any previous training your pup has had, including the name of the organization/trainer's name: *

What does your dog do when off leash and sees another dog? * What does your dog do when off leash and sees another dog? * Barks Growls Lunges/Pulls Snaps Hides Ignores Wiggles Gets overly aroused & out of control

Has your dog ever growled at a person? * Has your dog ever growled at a person? *YesNo

Has your dog ever bit a person? * Has your dog ever bit a person? *YesNo

Please describe the situation that led to the bite. *

Has your dog ever bitten a dog? * Has your dog ever bitten a dog? *YesNo

Please describe the situation that led to the bite. *

How does the dog react to strangers? Both in the home and outside *

...

What types of gear or tool have been used with your pup in the past or are currently being used? Check all that apply. * What types of gear or tool have been used with your pup in the past or are currently being used? Check all that apply. * Flat Collar (buckle collar) Slip Lead Choke Chain Prong/Pinch Collar Harness Spray Collar Shock Collar/ E-Collar/Stim Collar (vibrate, tone, stim) Head Halter Invisible Fence Other

...

Does your dog exhibit any of the following? Check any/all that apply? * Does your dog exhibit any of the following? Check any/all that apply? * Jumps on people Mouthing/Nipping Urinates when excited/greeted Pulls on leash Fearful to strangers/bites/growls Doesn't listen/come when called Rolls over & offers belly when approached Play bites Countersurfs Destructive Steals objects Anxious when left alone Reactive on leash to dogs Reactive on leash to humans None of the above

...

Does your dog work well for (check where appropriate): * Does your dog work well for (check where appropriate): * Food Ball/frisbee/retrieve game No reward Praise Petting

...

Does your dog chase (check where appropriate): * Does your dog chase (check where appropriate): * Cars Children moving/running Skateboarders Joggers Bikers/Bikes Cats or furry critters None of the above

...

I accept AATD's terms & conditions of All About Training Dogs llc I accept AATD's terms & conditions of All About Training Dogs llc Yes, I accept the Terms & Conditions