Puppy Training Customer Intake Puppy Training Contact Information Name * Name First First Last Last Email * Phone * Full address * Availability Check all that you are interest in Consultation + lesson Private lesson(s) Play and Train visits Day Training Board and Train Dog Information Puppy's name Puppy's age Puppy's age when adopted or purchased Sex Female Male Check if spayed/neutered Breed or type General Information Describe three things you like about your puppy or enjoy doing with him/her Please check all the things your puppy loves to do Go for walks play fetch play tug Run with you Go to the dog park Meet new people Meet new dogs Cuddle Get touch, scratch or pets Receive treats Check if vaccinations are current Please check off any issues whether mild or severe Not housebroken Urinates when excited or afraid Jumps up Overactive/doesn't settle easily Nervous or easily stressed Fearful or shy Nuisance barking Demanding barking Chews destructively Bolts through open doors Pulls on leash Doesn't come when called Unresponsive to name or commands Inattentive/short attention span Play biting/mouthing Steals food or objects Guards food, toys or objects Growls at family members Separation Anxiety Desribe the main problem or concern if any. If you are not having any major issues and just looking to prevent issues then fantastic. Please feel free to skip these questions 🙂 How often is the main problem occurring? Once a month or less No more than once a week Several times a week Every day Multiple times per day This problem is increasing in Frequency Intensity Duration None of the above What have you done to address or correct the above issues? Please indicate specific tools and methods if any Were these methods effective? If you have worked previously with a trainer, please indicate what that work entailed What are your long-term goals for your puppy? General Information How many children reside in your home? What other pets do you own? Is this your first puppy/dog? Where does your puppy sleep? Do you crate your dog? If so, when and how does he tolerate it? Do you ever confine your puppy to a room or area of the house? How much time does your puppy spend loose in the home unattended? Is your puppy social with new people? Is your puppy social with other dogs? Do you visit dog parks or send your puppy to daycare? If so, where and how often? Describe your puppy's play style or manner of interaction with other dogs? Check off any commands or skills you have taught Sit Down Wait/Stay Come Heel Off Leave It Touch Watch Me Drop It/Out Ok/Free Back Go Away Hand Signals Loose-leash Manners What equipment do you currently use to walk your puppy? Additional Information Does your puppy suffer from any allergies or medical conditions? How did you find K9 Satisfaction? Please provide any additional information If you are human, leave this field blank. Submit
