Separation Anxiety Intake
Client Name
Location (City, State)
Email
Phone number
Dog's Name
Dog's Breed
Dog's Age
Sex
Male
Female
Where was dog acquired? (Shelter/Breeder/Other)
How long has dog been in your household?
How often is your dog being left alone currently?
Have you done any training to address Sep Anx?
How long would you like to leave your dog alone?
What does your dog do when left home alone?