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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):

Please fill out this field.

Phone:

Please enter a phone number.

Email:

Please enter a valid email address.

Dog's Name:

Please fill out this field.

Dog's Breed:

Please fill out this field.

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:

Please fill out this field.

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

Please fill out this field.

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

Please fill out this field.

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

Please fill out this field.

Please fill out this field.

Please fill out this field.