Dog Gone Good - Separation Anxiety Form

Hello and thank you for taking the time to provide us with information about your dog's separation anxiety. 

Please note that all members of the household are required to commit to aversive free methods during our time together. Aversive tools/methods include: shock, choke, prong, and barking collars. In addition to: shaking cans, collar corrections (pops), and slip leads. These methods are likely to hamper training, including the use of invisible or shock fence. Invisible fence causes fear, anxiety and aggression in many dogs, including excessive barking. Your dog must feel safe in order to overcome their anxiety! 

If your dog presents with potential pain or extreme behavior, I may require a Veterinarian be seen in order to move forward with behavior modification. Health and behavior are linked. In many cases poor health (including toxic stress) must be addressed first in order to see the behavior change you wish for. 

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Email *
Untitled Title
Your first and last name *
Your dog's name *
What’s your dog’s birth date? (put approximate if adopted) *
What date did you get your dog? *
What breed or mix is your dog? *
Is your dog female or male?
Is your dog spayed/neutered?
Where did you get your dog from? *
Please list out the daily exercise and enrichment your dog gets. *
How long has your dog had separation anxiety? (months, years etc) *
What other training have you done to address your dog’s separation anxiety? Please outline below: *
How long is your dog being left alone at the moment? *
Have you spoken to your vet about your dog’s separation anxiety? *
If yes, what was the outcome of your conversation with your vet? *
For separation anxiety training to work, you really would need to find away to stop leaving your dog. How do you feel about that? *
Does your dog have medical issues?  If yes, please explain. *
How long have these been occurring?
Please give me any more background to your dog that your think might be helpful.
How did you hear about us?Friend/Colleague/RelativeOnline searchFacebookDog trainerVetOther
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I have read and agree to the company policies, contract, and agreements in full. Please follow the link and then type YES.  *
We will contact you within 72hrs. Thank you.
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