City Dog Training, LLC

* Name

* Email

Home Phone

Cell Phone

Address

Town/City

Number of people living in the house and their ages

* How may we help you? What are you hoping to accomplish with your training?

* What's your dog's name?

Male or Female

Intact, Spayed or Neutered

What breed or mix?

Age of dog now

Age of dog when obtained

Where did you get your dog?

Other dogs' names, breeds and mixes, how long have they lived with you

Any other pets? Please list:

Vet's name:

Does the dog have any health issues? Please explain:

Please list any medications your dog is on:

What do you feed your dog?

Is this your first time owning a dog as an adult?

Does your dog use a crate regularly?

How often is your dog left alone in the house?

Where is your dog when left alone in the house?

How does your dog react to being left alone?

Have you ever taken your dog to an obedience class?

If so, where and with whom?

If you go near or touch your dog's food or dish when he is eating, will he show teeth, snap or "freeze" in place?

If your dog has a treasured object in his mouth and you try to take it from him, will he show teeth, snap or "freeze" in place?

If your dog is on your bed or the furniture and you try to ask him to move or get off, will he show teeth, growl or snap?

What is his typical reaction when meeting or seeing dogs?

What is his typical reaction when meeting or seeing people?

Have you ever been concerned about your dog's interaction with non-family members?

Does your dog chew destructively when you're home?

Does your dog chew destructively when you're not home?

How much exercise does your dog get each day?

What kind of exercise?

How many hours is your dog alone each day?

How many times has your dog bitten another dog?

How many times has your dog bitten a person?

Please list three things you love about your dog:

How did you hear about City Dog Training: