Cultivated Canine Pre-Training Questionnaire
Thank you for choosing Cultivated Canine, we're excited to train with you! Please take a few minutes to help us get to know you and your dog a little better! Upon completion of this form, one of our trainers will reach out via your preferred contact method to discuss a training plan and next steps. *Please fill out this form for EACH dog you plan on sending to Cultivated Canine, because every dog is unique and so are their training goals!
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Email *
Your Full Name *
Phone Number *
Preferred Method of Communication *
Required
Dog's Name *
Dog's Age *
Dog's Weight *
Dog's Breed *
Dog's Gender *
Does your dog have any diet restrictions and/or allergies we should know about?  *
If you selected yes, please note those restrictions and/or allergies below.
Does your dog take any medications that we may need to administer? *
If yes, please list any medications along with dosages.
Is your dog comfortable in a kennel? *
Is your dog prone to destructive behaviors when left in their kennel? 
 *
How did you acquire your dog? *
Social Skills *Pick the option that sounds most like your dog *
Is your dog reactive? Reactivity is a strong emotional response to startling stimulus in the environment, and is not just aggression. Your answer may be "yes" if:
-Your dog pulls on leash towards other dogs, people, or small animals
-Your dog appears tense or uncomfortable in the presence of dogs, people, or small animals
-Your dog growls, snaps at, or bites dogs, people, or small animals

*If the answer if yes, your dog will NOT be turned away!
 *
If you answered yes or unsure, please explain.
Has your dog ever bit another dog or human? *If the answer if yes, your dog will NOT be turned away! *
If you answered yes, please explain. 
Has your dog ever been attacked or bitten by another dog? *
If you answered yes, please explain.
Tell us a bit about your dog's training history. *
Required
When training, what best motivates your pup?  *
Required
What are your goals for training with us? Choose as many as you'd like!  *
Required
Do you have a preferred side for your dog to walk on? *
Do you have preferred days that you'd like to train?
Which programs are you interested in here at Cultivated Canine?
Is there anything else you'd like our trainers to know?
How did you hear about Cultivated Canine? *If it was a friend, make sure to let us know who!  *
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