Basic information about dog Owner Name Email Owner Telephone Dog Name Color/patterns that distinguish/identify dog: Breed: Date of birth (age): Gender: malefemale Microchip: yesno What are you training goals for your dog? What kind of training have you performed already? What commands does your dog already know? Dog’s medical background/history information. Allergies: Health issues: Physical trauma: Spayed/Neutered: yesno Medication: Dog’s behavioral information: Is your dog normally aggressive towards humans/animals/children? If yes, what are the circumstances? Has your dog ever bitten another human/animal/child? If yes, what were the circumstances? Has your dog ever been attacked or bitten by another dog? If yes, what were the circumstances? How does your dog behave around their food/bowl? Do they have any food aggression? How does your dog behave around their toys and possessions? Do they have any resource guarding issues? Is your dog sensitive to any part of his/her body? How does your dog relate (relationship wise) with individuals in the family? How does your dog behave and react when guest visit your home? How does your dog behave when strangers are near or approach your home? How does your dog play with other pets/animals/family member? Do you have multiple dogs or pets? If yes, which is usually the dominant dog? How does your dog react to other animals? How would you describe their prey drive? Does your dog bark, dig, jump, chew, mouth, chase tail excessively? Any excessive behaviors? Is your dog food motivated? Scale from 1 (None) to 5 (Very Motivated) What type of treats or food are allowed? Is your dog, toy motivated? Scale from 1 (None) to 5 (Very Motivated) Is your dog affection motivated? Scale from (None) to 5 (Very Motivated) General information: Is your dog crate trained? yesno Is your dog allowed in the entire home unsupervised? yesno Is your dog allowed on the furniture? yesno Has your dog ever been to a dog park? If yes, how did it go? Has your dog ever been to a dog day care/camp? If yes, how did it go? Does your dog have any dog friends? How many? Who currently walks the dog? Do you use a collar or a harness to walk your dog? How do the walks go? Walk speed/pace? Does the dog pickup items off the ground? If yes, what do you do? Anything/place off-limits (in-home/outside) to your Water preference (faucet/tap, filtered, bottled)? How did you hear about us? Have you heard of the AKC Canine Good Citizen Program? Do you have any particular training method you prefer to use? Do you have any particular training method you prefer not to use? How much time and patience do you have for dog training? Δ
