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Initial Consult Form
Contact information:
First name:
Last name:
Phone Numbers:
Email address:
Mailing address:
Request information on:
Dog Name:
Dog Age:
Dog Breed:
How long have you had your dog?
Where did you get your dog?
Name and Ages of children:
Other people who handle your dog:
Name, species, breeds and ages of other pets:
Species, Breeds, Age
Please list you dog's greatest training issues:
Please rank the following motivators from your dog's favorite(1) to least favorite (10):
treats, petting, walks, toys, people, other dogs, fetch, tug, sniffing
Please Check All That Apply to your dogs training (hold shift for multiple selections):
House Training
Chewing
Jumping Up
Nipping
Separation Anxiety
Pulling on Leash
Coming When Called
Barking or Lunging at people
Barking or Lunging at Dogs
Guarding valued items
Guarding owner
Guarding Territory
Other Motivators:
What do you feed your dog and how often?
Allergies? If so, to what?
Sensitive Stomach?
Yes
No
Picky Eater?
Yes
No
How do you play with your dog and how often?
Name and Number of Veterinarian:
Date of Last Visit to the Vet:
How did you hear of Sit Stay Dog Training?