Behavior Evaluation Questionnaire

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Please take a few minutes to answer the questions as accurately and honestly as possible. The more information we have, the more successful the results!

This form will guide you to answer only the questions applicable to your dog's behaviors - you will not necessarily need to answer every section. The form should take 5-10 minutes to complete.

We appreciate your participation in helping us recommend and design the most effective treatment protocol!

***If you dog engaged in SEVERE problem behavior, we will contact you to schedule a 15 minute phone consultation with a trainer PRIOR to scheduling.***

Email *

Your Name *

Phone Number: *

Prefer to be contacted via: *

Phone call

Text

Best time of day to contact:

Morning

Afternoon

Other:

Clear selection

Which location are you working with?

Kansas City

Houston

Austin

St Louis

Clear selection

Your Address *

Have you spoken or emailed with a member of the BtD staff prior to completing this form?

Yes, spoke on phone

Yes, submitted email inquiry

Clear selection

If yes, what was the recommended training program?

Executive Training Program

All-Inclusive Training Program

Board and Train Program

Other:

Clear selection

I am submitting this: *

PRIOR to contract submission to obtain program recommendation

AFTER contract submission

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