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New Client History Form
Your Name
Dog's Name, Gender, Age, Breed/Mix, Weight
Who else lives with your dog?
How did you acquire your dog, and how old were they?
Tell me about your dog's diet
Tell me about your dog's activities and prior traning
*
Required
Breakfast
Lunch
Dinner
AM Walk
PM Walk
Hike
Flirt Pole
Fetch
Tug
Slow-feed Bowl
Lick-it Mat
Trained Basic Obedience
Trained Advanced Cues
Trained on Behavior Issues
Used a prong collar
Used an e-collar
Used an e-fence collar
Used a back-clip harness
Used a front-clip harness
Used a head collar
Used a standard flat collar
Used a martingale collar
Used a long-leash
Used a 4' - 6' leash
Used a 20'+ long leash
What are your dog's training goals?
*
Required
Basic manners at home
Manners in public/on walks
Not jumping up on guests
House training
Puppy nipping/biting
Destructive habits
Advanced Obedience/CGC
Tricks & other online titles
Therapy Dog (visits patients)
Service Dog (helps someone with a disability)
Overcome fear of strangers
Overcome fear of dogs
Overcome fear of children
Overcome fear of sound(s)
Overcome fear of objects
Aggressive behavior modification
Resource guarding
Integrating into the household with other animals or people
Being able to eliminate outside on or off-leash
Nightmares
OCD fixations (laser pointers, ball, shadows, etc.)
Tempering high prey drive
Separation anxiety
Crate training
Building confidence & socializing
Bonus: animal communicating or soul-level healing
Tell me about your dog's medical history
Bite history?
Level 1 - didn't leave a mark
Level 2 - left a mark
Level 3 - broke the skin
Level 4 - required hospital visit
Level 5 - multiple bites with clear intent to harm/kill
Anything else you'd like me to know?
Send
Thanks for submitting!
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