Name * First Name Last Name Partners Name (if applicable) First Name Last Name Email * Home Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone Number * (###) ### #### Dog Name * (if multiple dogs - fill out a form for each) Dog Breed or Mix Have there been any events recently that have prompted you to reach out to Pitties2Poodles for help? * Where did you get your dog? How old where they when they got to your home? * Dog Age, Sex, Weight * Is your dog spayed or neutered? * Yes No Unsure Is your dog up to date on their vaccinations? Yes No What vet clinic do you use? When was last exam? Does your dog have any allergies? How often and how much does your dog eat a day? What food does your dog eat? Have you done previous training with your dog? Yes No What tools have you used to train your dog? e-collar prong collar transition leash head halti/gentle leader bonker clicker Has your dog ever used an invisible fence? * Yes No Unsure Does your dog spend time outside (tied or in yard) unattended? * Yes No Does your dog attend a daycare facility? If yes, which one? Do you have a daily exercise routine with your dog? if yes, what does it look like? * Has your dog ever bitten anyone for any reason or do you feel your dog is a bite risk? If yes, please provide details. Has your dog ever attacked another dog? Been attacked by another dog? Or been in any dog fights?* If yes, please provide details: * Is your dog currently medicated for any other behaviour issues? (please list issues and medication) What issues are you having with your dog that you would like to address (select all that apply): Leash Pulling Barking at other dogs while on walk Barking at people while on walk Not coming when asked (recall) Difficulty controlling when people arrive at your house (happy excitement) Difficulty controlling when people arrive at your house (anxiously or aggressively) Biting/nipping at people Biting other dogs Guarding food/bones/sticks/toys Excessive barking Separation anxiety Stealing food from counters Destroying things in the house My dog hates the vet My dog hates the groomer How many people are living in the home? Please list ages . * Is there anyone currently pregnant? Will there be in the near future? * Has your dog bitten or growled at you or anyone who lives in your household (not in play situations, if yes provide details)? * How many other pets are in your home? Please list species. Is there any issues between pets? * Does your dog have any issues not addressed above that you would like to discuss? How did you hear about Pitties2Poodles? I understand Pitties2Poodles Training philosophy and tool usage! YES- Love it and cant wait to learn more! NO- and I REFUSE TO LEARN MORE! Kind of- I have only done pure positive and want to chat with a pro to see if this is the gamechanger we need! Thank you!
