Client's Name * Client Email * Client Phone * Alternate Contact Name Alternate Contact Phone Dog's Name * Breed / Mix * Date of Birth / Age * How did you hear about us? * How long have you had your dog? * Were there previous owners? * Where did you obtain your dog? * Does your dog have any particular way they like to be petted? * Why did you get your dog? Please check all that apply: * Do we have permission to post photos or videos of your puppy/dog on social media? We often do as a way to show you progress and to show off your beautiful baby! * MEDICAL Veterinarian's Name * Month / Year of last vet visit * Month / Year of last vaccination * Vaccine(s) given * Current health problems and/or medications Does your dog have any allergies, including food allergies? Is your dog easily handled by the vet staff? * Has your dog ever had to be muzzled? * Is your dog on heartworm preventative? * Is your dog on flea and/ or tick preventative? * May we contact and discuss health and behavioral issues with your veterinarian? * DIET AND ELIMINATION What type of food do you feed? (e.g., raw, dry kibble, canned) * How often? * How much? * At approximately what times? * Approximately how long has your dog been on this food? * Does your dog finish all food at meals? * Does your dog receive treats? * Please list 3 of your dog’s favorite foods/treats: * Has your dog ever become possessive of his food or a treat? * Is your dog reliably housetrained? * Is your dog crate trained? * Do you have a dog door? * EXERCISE What type of exercise does your dog get? * How long does the exercise last/how often is it provided? (For example, “a 15-minute walk three times daily,” or “plays with the neighbor's dog for an hour once a week.”) * What kind of toys does your dog enjoy playing with/Do they have a favorite? * Does your dog have any favorite games they like to play? * Who is normally responsible for exercising your dog? * If walks are provided, what type of collar and leash is being used? (Collar examples: “regular buckle collar,” “head halter,” “body harness,” “pinch/prong collar,” “choke chain.” Leash examples: “6-foot nylon leash,” “retractable leash.”) * Does your dog get easily distracted or pull you on walks? * Does your dog ever become reactive toward other dogs or people on walks? * Is your dog friendly with dogs they do not know? * Is your dog friendly with strangers? * List all people, including yourself, who live in your household: (Name, Gender, Age (of children), Relationship to you) * Do any friends/ neighbors/ family/ children from outside the family frequent the home? * Does your dog “belong to” a particular household member (e.g., son) or everyone? * Who will be responsible for practicing training exercises with the dog? * Do any household members dislike the dog, and if so, why? * Are any household members frightened of the dog, and if so, why? * Is the dog frightened of any household members, and if so, why? * Where is your dog kept when you are not at home? * Indoors not confined In yard not confined In yard tied out or chained Indoors confined In yard confined to dog run Other If indoors, is your dog ever confined (crated, penned) while you are home? * Where does your dog sleep at night? * How many hours during the day is your pet without human companionship? * Three things I like about my dog: * Three things I do not like about my dog: * Do you have other pets? * TRAINING What type of training have you already tried? (check all that apply) * Training methods used (check all that apply): How much time do you plan to dedicate for your dog's training? * For each behavior below, estimate what percentage of the time he will do so when asked: Sit * Down * Stay * Walk nicely on leash * Leave it * Give * Wait * Go to your place * Quiet * Off (furniture or when jumps up) * Others behaviors (including tricks): Check the behaviors that apply to your dog: * Notes / additional descriptions from the above behavior list: List any procedures/training equipment you’ve used to try to correct the behaviors checked above: What would you like help with, in order of importance? * Has your dog ever bitten anyone? * Has your dog ever bitten another animal? * Has medical attention been necessary (for humans or animals) because of any aggressive incident? * What is your dog’s usual reaction when a person they have not met before enters the home? * When was the last time a person unfamiliar to your dog entered the home? * Is there anything else you feel it would be important for us to know?