Consultation Survey
If you are interested in any of the training programs offered by Mindful Mutts LLC and would like information on pricing and/or how to register, please fill out the form below.

This is our consultation survey! If you have already scheduled your FREE Phone Consultation, please complete this survey prior to your appointment time. We are looking forward to speaking with you!

If you have not already scheduled your phone consultation, you will be contacted to do so following the submission of this survey.
Owner Name(s):*
Phone:*
Email:*
Dog's Name:*
Dog's Breed:*
Dog's Sex:*
Neutered Male
Intact Male
Spayed Female
Intact Female
Dog's Size:*
Less than 20 lbs
20lbs - 50lbs
50lbs - 100lbs
Greater than 100lbs
Dog's Age:*
Is your dog up to date on their recommended/required vaccinations?*
Yes
No
I don't know
Are you the primary caretaker for this pet?*
Yes
No
Do you have other pets in the home?*
Yes
No
Briefly describe your dog's daily routine?*
Does your dog have a history of aggression toward people or dogs/other animals? (Growling, snapping, baring teeth, lunging, biting, etc.)*
No.
Yes, towards people.
Yes, towards dogs/other animals.
Yes, towards both.
Has your dog ever caused injury to a person or dog/other animal?*
No
Yes, to another person.
Yes, to another dog/animal.
Yes, to both.
Do you use a crate?*
Yes
No
What commands or tricks does your dog already know?*
Select all that apply to your dog:
Growls
Bites
Aggressive
Fearful or Shy
Destructive
Excessively Barks
Does Not Listen
Resource Guards (Food, Toys, Bed, Owner, etc.)
Excessive Energy
Not Good with People
Not Good with Dogs
Jumps on People
Pulls on Leash
Has Separation Anxiety
Select the training program(s) you are interested in:*
Group Classes
Private Lessons
Day Camps
Board & Trains
Has your dog attended training before? *
Yes
No
Briefly describe your training goals below:*
Is there anything else you would like us to know about you or your dog? (Medical conditions, other behavioral issues, service dog, etc.)
Please list 2-3 days and times that you are available for your consultation in the near future.*