Private Dog Training Intake Form Owner First Name *Last Name *Email *Phone Number *Address City *How did you hear about Fuzzy Buddy? Friends or familyOnline search / GoogleFacebookInstagramOtherIf you heard about us from friends or family, please let me know who so I can thank them! When are you typically available to schedule a lesson? Days, timesDog’s Name *Dog’s Age *Breed Dog’s Weight *Gender *MaleFemaleStatus Spayed / NeuteredIntactHow old was your dog when you got him/her? Where did you get your dog? Breeder, shelter, imported rescue, otherAre your dog’s vaccinations up to date? YesNoRabies, distemper, parvovirus, bordatella (kennel cough), leptospirosisGeneral Health & Fitness Recent illness, physical limitations, surgery, etc.Is your dog take medication or supplements? If yes, please list. What brand of food and how often does your dog eat? Brand, protein sourceDoes your dog have any known food sensitivities? NoYesIf Yes, please describe: Describe the behaviour issue(s) you experience with your dog: When did these issue(s) begin and how long have they been happening? In what situation(s) does the problem behaviour occur? What has been done to address the issue(s)? What were the results? How does your dog respond to unfamiliar DOGS? FriendlyExcitableCalmTimid / FearfulBarking / LungingChoose all that applyHow much interaction with people and other animals did your dog have as a puppy (birth to 4 months)? How much and what kind of interaction does your dog have with dogs now? On leash, off leash, small dogs, big dogs, etc.How does your dog respond to unfamiliar PEOPLE? FriendlyExcitableCalmTimid / FearfulBarking / LungingChoose all that applyIn what situations does your dog show excitement? Describe your dog’s behaviour: Jump, bark, whine, etc.In what situations does your dog show signs of stress/distress? Describe your dog’s behaviour: Pace, whine, bark, growl, snap, etc.In what situation(s) does your dog show aggression? Describe your dog’s behaviour: Bark, lunge, show teeth, growl, snap, etc.Has your dog every bitten anyone? YesNoIf Yes, please describe: Puppy nipping, no marks, bruising, scrape, puncture, required stitches, etc.Does your dog get jealous or exhibit guarding behaviour toward anything? NoYesIf Yes, please describe: Food, toys, treats, beds, furniture, etc.What is your dog’s exercise routine? On leash, off leash, types, duration, etc.What equipment do you use when walking your dog? Flat collar, martingale, prong, harness, 6’ leash, flexi-leash, etc.Skills your dog knows: SitDownStayOffLeave ItComeOther…Please list any other cues your dog knows: What are your training priorities? How do you prefer to receive written lesson follow ups? Summary, minimal detailed instructionsBullet point, detailed instructionsList, minimal high level descriptionSome clients prefer detail, others are overwhelmed by too much info.What should I know to help you get the most out of our sessions? Learning style, physical limitations, disability, etc.Additional comments: NameSubmit
