Owner's Information
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First Name
Last Name
Email
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Phone
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(###)
###
####
Address
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Partner or Emergency Secondary Contact
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First Name
Last Name
Email
Phone
(###)
###
####
What services are you interested in?
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How did you hear about us?
Option 1
Option 2
Dog's Information
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How did you hear about us?
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Date of Birth
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MM
DD
YYYY
Breed(s):
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Sex
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Female — Intact
Female — Spayed
Male — Intact
Male — Neutered
Weight (lbs)
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Where did you get your dog?
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How old was your dog when they joined your family?
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If adopted at a later age, what history do you know of your dog?
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How many dogs live in your home?
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How many people live in your home? l
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Does your dog have any medical conditions or health concerns
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Any past injuries, surgeries, or physical limitations that may affect training
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What is your dog's daily feeding schedule?
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How much do they eat per meal (cups or g)?
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What brand of food does your dog eat?
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Do they receive any additional food or treats during the day?
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Does your dog have any suspected or confirmed food allergies?
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How would you describe your dog's food drive?
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How would you describe your dog's general demeanor & energy on a day-to-day basis?
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How does your dog behave around other dogs, both familiar and unfamiliar?
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How does your dog behave around people, both familiar and unfamiliar?
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How does your dog behave around kids, both familiar and unfamiliar?
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How does your dog behave when people outside of your immediate family come into your home?
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How does your do react to strollers, bikers, skateboards, loud cars, etc.?
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How does your dog behave in the car? Are they free roaming or crated?
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How does your dog behave in new environments?
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Which of the following behaviours have you observed in your dog? Occasionally or frequently
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Has your dog ever bitten or attempted to bite a person or another dog?
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Does your dog have any history of other aggressive behaviours (intent to do harm if uninterrupted)?
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Resource guarding, uncontrollable reactivity on walks, intense prey drive, etc.
Does your dog pull, lunge, bark, or show other reactive behaviours on walks?
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