1-2-1 Information Form

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Email *

Information Form

Customer Details

Your Name:

Address:

Post Code

Phone Number:

Home Information:

Have you owned dogs before?

Do you have any other pets?

If yes What do you have?

How many people live in the home environment?

Ages of Human housemates?

Who in the house has any input with exercise/training, feeding and looking after your dog?

Your Dog’s Details

Name:

Age

Gender

Male

Female

Clear selection

Breed

Has your dog had previous homes? If yes reason for leaving?

How long have you owned the dog?

How is the dog with children and visitors?

Is your dog neutered?

yes

Clear selection

Any previous behaviour history?

Vaccines up to date?

yes

Clear selection

Current diet?

What treats, enrichment and chews do you give your dog?

When was their last health check?

YYYY

Has your dog got any allergies?

Please list any pre-existing or current health conditions:

Do they have any health issues?

How long does your dog get left at any one time?

Where does your dog sleep?

How often do you walk the dog?

Is there any issues regarding walks?

Does your dog go off lead?

yes

sometimes

Clear selection

Has your dog ever shown aggression towards people or other dogs?

If yes, please give details

What training have you taken part in so far? Any puppy or other classes?

How would you like PawFecter Dog Training to help you and your dog in your 1-2-1?

(What are your problems you need help and advice with?).

Anything else you would like to add?

Completed Date *

YYYY

I confirm the information provided in this form is correct to the bet of my knowledge and if any of the information is to change I will inform Pawfecter Dog Services immediately *

yes

Submit

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