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New Client Questionnaire
This is a questionnaire for new Creative Canine Training clients. Please answer questions to the best of your knowledge. Thank you!
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Email
*
Your email
Your Name
*
Your answer
Phone Number
*
Your answer
Street Address, City, State and zip code
Your answer
List the people in your household (and ages of any children):
Your answer
Your dog(s) Name, age, breed
*
Your answer
If you answered more than one, Which dog(s) need training?
Your answer
List any other pets in the household:
Your answer
Is the dog spayed/neutered?
Yes
No
Other:
Clear selection
Where did you get your dog, and how long have you had him/her?
Your answer
Are your dog's vaccines up to date?
*
Yes
No
Does your dog have any health issues or allergies? If yes, please list
Your answer
Who is your veterinarian?
Your answer
When was your dog's last visit to the veterinarian?
Within the last month
Within the last 6 months
Within the last year
Longer than one year ago
Clear selection
Has your dog had any previous training? If yes, briefly describe
Your answer
How do you exercise your dog, and how often?
Your answer
Where is your dog left when you're not home?
Crate
In a room
Loose in the house
In the yard
Other:
Clear selection
Check all that apply to your dog's personality:
Friendly
Confident
Fearful
Skittish or Timid
Aggressive
High energy
Easily distracted, Hyper
Quiet, relaxed
Intelligent
Submissive
Dominant
Other:
How does your dog react to meeting new people?
Your answer
How does your dog react to meeting new dogs?
Your answer
Has your dog ever bitten anyone? If yes, please explain
Your answer
Has your dog ever bitten another dog? If yes, please explain
Your answer
Does your dog have any of these problems?
Jumping on people
Pulling on leash
Play biting
Aggressive biting
Chewing on inappropriate items
Excessive barking
Not responding to commands
Pottying in the house
Growling/biting when you try and take food, toys or bones away
Jumping on counters
Running away
Separation Anxiety
What motivates your dog, what does he like?
Food
Treats
Squeaky toy
Ball
Tug toy
Play with owner
Other:
List any behavior concerns or problems you have with your dog:
Your answer
What are your training goals with your dog?
Your answer
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