Client Information Form 
Thank you for contacting Sit's Getting Real! Please answer the following as thoroughly as possible. This form should be received at least a week before your training appointment. All answers are confidential and will help us to serve you better. 

This form takes approximately 30 minutes to complete. 
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Owner Name *
Address (City, State, Zip Code) *
Address *
Required
Cell Phone *
Email *
Occupation *
How did you hear about us?  *
Required
Dog's Name *
Dog's Breed/Mix *
Dog's Sex *
Spayed/Neutered?  *
If Spayed/Neutered, at what age? *
Dog's Date of Birth/Age *
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Dog's Weight *
Where did you obtain your dog? *
Required
If adopted from a shelter/rescue or pet store, please provide the name *
How long have you had your dog? *
Was there a previous owner(s)? *
If yes, why was the dog given up? *
How long have you had your dog? *
Type of ID *
Required
Why did you get your dog? Please check all that apply *
Required
Veterinarians Name *
City *
Date of Last visit *
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Reason for last visit *
Date of last vaccination  *
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DD
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Vaccines given *
Current health problems/medication *
Does your dog have any allergies, including food?  *
Past medical conditions/treatment *
Is your dog easily handled by the vet staff? *
Required
Has he/she ever had to be muzzled? *
Required
Is your dog on heartworm preventative?  *
Required
Is your dog on flea and/or tick preventative? *
Required
May we contact and discuss health and behavioral issues with your veterinarian? *
Required
What type of food do you feed your dog? (e.g., raw, dry kibble, canned) *
How much & how often?
At approximately what time? *
Does your dog finish all food at meals?  *
If the answer is no, how long is the food left down? *
Does your dog receive other treats/chewies? *
If the answer is yes, please include frequency/type below.  *
Please list 3 of your dogs favorite foods/treats *
Has your dog ever become possessive of his food/treats? If the answer is yes, please describe in much detail as possible.  *
Is your dog reliably house trained?  *
Required
Is your dog crate trained? *
Required
Paper/pad trained? *
Required
Litter box trained? *
Required
Do you have a dog door? *
Required
How many times daily do you let your dog out (or take them on walks) to eliminate when you are at home?  *
How many times per day does your dog normally defecate? *
What type of exercise does your dog get? (If not receiving any exercise at this time, note "none" and the reason).  *
How long does the exercise last/how long is it provided? For example: "a 15-minute walk three times daily," or "plays with neighbor's dog for an hour once a week." *
Who is normally responsible for exercising your dog?  *
If walks are provided, what type of collar and leash are being used? (Collar examples: "regular buckle collar, "head halter," "body harness," "pinch/prong collar," "choke chain." Leash examples: "6-foot nylon leash," "retractable leash.") *
Does your dog ever become reactive toward other dogs or people on walks? If yes, please describe: *
List all people, including yourself, who living your household. Please include their name, gender, age, and relationship to you.  *
Who will be responsible for practicing training exercises with your dog? *
Does your dog "belong to" a particular household member or everyone? *
Do any household members dislike the dog, and if so, why? *
Are any household members frightened of the dog, and if so, why? *
Is the dog frightened of any household members, and if so, why? *
Where is your dog kept when you are not at home?  *
Required
When you are at home, is your dog allowed in the house? *
Required
If indoors, is your dog ever confined (crated, penned) while you are at home? *
Required
If so, how long is your dog confined on an average day? Please include the reason *
If your dog is not allowed indoors at all, why not? *
Required
If your dog is an outdoor dog, would you like them to eventually be able to be indoors? *
Required
Where does your dog sleep at night? *
Does your dog sleep in a crate at night? *
Required
How many hours per day is your pet without human companionship? *
Do you have any other pets? If so, what kind, breed, age, sex, neutered? *
If your other pet is a dog or cat, how does your dog get along with the other pet? *
Does your dog play with toys or play games? If yes, what are their favorite toys/games? (These may be interactive games like tug or toys he plays with alone) *
What other activities does your dog enjoy? *
What are 5 things you love about your dog? *
What are 5 things you like to change about your dog? *
What training has your dog had? *
Required
If group class, did you complete the course?
Clear selection
What training methods have you used? (Check all that apply) *
Required
List organization name and/or trainer's name *
Check the behaviors your dog knows.  *
Required
Does your dog always listen when you ask them to perform a behavior they know? *
Behaviors that apply to your dog (Please select all that apply)  *
Required
List any procedures/training equipment you've used to try to correct your dogs behaviors:  *
Has your dog ever bitten anyone? *
Has your dog bitten any animal? *
If your dog has bitten, please describe in as much detail as possible *
Has medical attention been necessary (for humans or animals) because of any aggressive incident? *
If you answered "yes" please explain *
What is your dog's usual reaction when a person they have not met before enters your home? *
When was the last time a person unfamiliar to your dog entered the home? *
What would you like help with, in order of importance? *
Is there anything else you feel it would be important for us to know?  *
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