Client Intake
Client intake form for dog training
Dog's Name
Dog's Age*
Dog's Sex
Breed *
Neutered or Spayed?*
Do you have kids in the home? If so, what are their ages?
Anything you want to tell me about your dog?
Are you interested in Service Dog Training?
Check the box if true
Are you interested in Therapy Dog Training?
Check the box if true
Behavior concerns - Check all that apply
Separation Anxiety (vocalization when left home alone, destructive behavior)
Puppy Alone Time (crate training or confinement area)
Puppy Manners: house training, puppy biting, jumping up, loose leash walking, crate training
Leash Manners/Heel
Coming When Called
Basic Manners: Sit, Stay, Down, Leave It, Go to Mat
Jumping On Furniture, Counters
Resource Guarding (food, toys, location)
Leash reactivity (barking and lunging at people and other dogs)
Fearful (Check all that apply)
Other Dogs
Certain Things
Are you interested in a training package?
Separation Anxiety
Puppy Alone Time
Rookie Puppy
All Star Dog
Online Dog Training
Service Dog Task Training