new client form Name * First Name Last Name Email * Phone * (###) ### #### Address * City, State, Zip code * Who else lives in the household? * Dog's Name * Dog's breed (or breed mix) * Dog's age * How long have you had your dog? * Where did you get your dog from? Please list any other pets in the household (species, breed, age) Has your dog ever bitten a person or other animal? * Yes No If yes, please explain: Who is your current veterinarian? * Is your dog up to date on their rabies vaccination? * Yes No Is your dog on any medication for anxiety? * Yes No Does your dog have any medical conditions? Please describe Does your dog have any food allergies? Please describe What type/brand of food does your dog eat? How does your dog react to unknown people? * Friendly and eager to greet Calm and neutral, aloof Shy but warms up quickly Avoids or hides from new people Barks or growls but does not approach Lunges or barks aggressively Freezes or shuts down Overexcited (jumps, barks, won't settle) Not sure/haven't observed How does your dog react to unknown dogs? * Friendly and eager to interact Calm and politely curious Shy or hesitant but warms up Avoids or hides from other dogs Barks or growls but keeps distance Lunges or barks aggressively on leash Plays too rough or lacks social boundaries Overexcited and hard to redirect Reactive only in certain situations (on leash, behind fence) Not sure/haven't observed How would you describe your dog's average energy level? * Very low: mostly sleeps, limited interest in activity Low: enjoys short walks, calm indoors Moderate: active but settles easily, enjoys daily walks/play High: needs regular exercise and mental stimulation to relax Very high: constantly active, always on the go, hard to settle Not sure, still getting to know the dog Is your dog afraid of anything? Please describe Have you done any previous training? Please describe Please check any equipment that you use with your dog * Flat collar Harness that clips on the dog's back Harness that clips on the dog's chest Prong collar Choke chain Electronic collar Head halter Martingale/limited slip collar Slip lead 4-8 foot leash Retractable/Flexi leash Spray bottle Muzzle Invisible fence Are there any treats or toys that your dog particularly loves? Please describe * How do you typically exercise your dog? * Leash walks, up to 2 miles Leash walks, over 2 miles Off leash walks Fetch/play time in house or yard Dog entertains self in house or yard Dog park Hikes Running/jogging Dog does not require exercise What is your goal with training? * Any other history or information you would like to share? Thank you!
