Request For Dog Training Services We look forward to matching your dog with one of our trainers! Please fill out the form below and we will be in touch. Dog Training Questionnaire Tell Us About YourselfName First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country PhoneMay we text this number? Yes No Email How did you hear about us?Tell Us About Your DogDog's NameAre they male or female?MaleFemaleAgeBreedAre they spayed or neutered? Yes No What are your top 3 behavior concerns for your dog?Has Your Dog Trained Before?Have you worked with another trainer? Yes No If so, whom?Was there anything that happened with the previous trainer that may be relevant to current and future training?Has an incident occurred to prompt you to look for a trainer? Or are you just needing basic training?How Does Your Dog Interact With Strangers?How does your dog respond to strangers when they enter your home? (Check all that apply) Ignores Excitedly greets them in a friendly manner Jumps on people Growls/barks while retreating Growls/barks while going toward them My dog would bite people if I did not restrain them Other If other, please specify:How does your dog respond to strangers when he/she meets them away from home? (Check all that apply) Ignores Excitedly greets them in a friendly manner Jumps on people Growls/barks while retreating Growls/barks while going toward them My dog would bite people if I did not restrain them Other If other, please specify:How Can We Help?Which of these does your dog need help with? Housebreaking Jumping on people Digging and chewing Play biting/mouthing Pulling on the leash Reacting poorly to other dogs while on leash Bolting out of doorways/Running away Stealing things Chasing (kids, cat, cars, etc.) Mounting people Mounting other dogs Excitability in the car Excessive barking Fearfulness and shyness Being overprotective Marking their territory Separation anxiety Begging Crate training Whining Growling Biting/nipping Possessiveness (resource guarding-won’t allow you to take items away or won’t allow other dogs around their items) Food egressing Does not listen Hyper/overactive Eats feces Counter surfing Other If other, please specify:Dog's General HealthWhat type of exercise does your dog get and how frequently?Is your dog on any medications?If so- for what symptoms and for how long?Is your dog recovering from any injuries?FeedingHow do you feed your dog?What do you feed them?SleepingWhere does your dog sleep? (check all that apply) In a crate In a family member’s bed In his/her dog bed Outside of the house Other If other, please specify:FamilyPlease list all people that live in your home and their ages.Please list all other animals/pets in your home and ages.Please list your schedule so we have an idea of what days/times we need to work around and can schedule during mutually acceptable periods. Δ This iframe contains the logic required to handle Ajax powered Gravity Forms.
