Smith Rock K9 Behavior Intake

Let's Help You and Your Dog Live Your Best Lives, Together!

Smith Rock K9 Dog Behavior Intake

Your Full Name

Phone

Dog's Name

Dog's Breed and Age

Any major health issues?

Description of Your Dog's Personality: (Include traits such as cheerful, anxious, energetic, etc.)

Duration of Ownership:

Household Composition - People, Dogs, Cats, Birds, etc.:

Did your dog come from a breeder, a rescue, a friend, or...?

How does your dog act around other dogs?

How does your dog act around cats?

How does your dog act around kids?

How does your dog act around new people?

Does your dog get nauseous in the car? Is your dog crate trained?

Exercise Routine:

Destructive Behaviors: (chewing, digging, pawing, scratching doors, peeing in the house, etc)

Any known triggers or noteworthy fears?

Tell us about your dog's general socialization history (e.g., interactions with other dogs, people):

Any self-Harm (licking or chewing excessively on their body)?

Behavioral Challenges: (Include specifics regarding issues like runs off, jumps fences, barks excessively, chases cats, paces, leash aggression, etc)

Has your dog ever been involved in any incidents where they have bitten another animal or person? If so, please provide specific details about each occurrence.

Previous Training History (if any):

What is your dream relationship with your dog? What are your specific training goals?

Do you have any big worries about starting training?

Optional - We want to show you that your dog is having fun and progressing beautifully! If you are feeling creative, give us one random challenge, like 'take a photo of my dog sitting on something funny' or 'take a photo of my dog with something purple'.)

Optional - Name 2 places you would love to be able to go with your dog but can't imagine going to without a headache right now:

Optional - Name 1 person who you are excited to re-introduce your dog to post training:

When do you envision starting training?

Optional - Upload a pic of your doggo!

I certify that I have made no intentional omissions and represented my dog to the best of my ability. I have disclosed any dangerous or destructive behaviors that are known to me.

Date

Month

Day

Year

Signature

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