Client Intake Form – New Dog Before we begin, we’d like to get some details about your dog and your lifestyle. This will help us create a plan that fits your needs. The more of this basic information we cover beforehand, the quicker we can get to the good stuff (the training plan) in your onboarding session. A quick guide:-Your answers can be as brief or as detailed as you’d like.-Feel free to skip any questions you’d prefer not to answer.–If you have multiple dogs: You can answer the dog-related questions for the one whose behavior will be our main focus. Your email Names and phone numbers of all household members (age 18+) who would like to be included in the Whatsapp group chat Where in the world are you located? Dog's name, age, and breed (if a mixed breed, give us your best guess) Dog's weight (an estimate is fine, metric or imperial is fine) Is this dog de-sexed (spayed or neutered)? Select one Yes No, and we probably won't get that done No, but we intend to get it done at some point Where did you get them? Select one Shelter or rescue Breeder Other Have they been to a vet since you brought them home? Select one Yes No If they're under six months old: Have they been vaccinated against parvovirus and distemper? In your vet records, these vaccinations might be labeled DAP or DHPP Select one No Yes - their first dose Yes - two doses Yes - three doses Unsure N/A - dog is older than six months Do you know anything about the dog's background/previous living situation? If so, please describe If this is a puppy from a breeder: did you meet either of the parents? Do you know anything about them? For example, "purebred working-line dog," "mixed breed, accidental litter," "mom was shy," etc Has this dog ever bitten a human or another dog, to the best of your knowledge? (Not including normal puppy mouthiness) Select one Yes No Maybe? My puppy has bitten, but I'm not sure if it's normal puppy mouthiness or not If you answered "yes" to the above, please describe the bite incident(s) Does this dog have any known health issues, like allergies, food sensitivities, pain, etc? Are they on any medications or supplements? What do you feed them? (Dry food, wet food, homemade, etc) What kind of treats do you use for training rewards, if any? Does anyone else live in your home, whom you haven't already told us about? (Kids, roommates, etc). If there are kids, please include their ages. Please list all other pets in the home, if any. Please describe your home type. House? Apartment/flat? In the city? Suburbs? Does your home have a fenced outdoor area where your dog can safely be off-leash? Select one Yes - a private, securely-fenced area that I'm reasonably certain my dog can't escape Yes - a private, fenced area that my dog COULD escape if I don't watch closely Yes - a shared fenced area, like an apartment building's community dog park No It's complicated - I'll explain at my first coaching session What best describes your logistical ability to take your dog somewhere by car or other transport? (Think parks, trails, or just getting away from your usual walking route) Select one I have a car and my dog is comfortable riding in it I have a car, but my dog struggles with car rides I don't have a car, but getting around by foot or transit works fine I don't have a car and/or transportation is a challenge Other What best describes your physical ability to take your dog on outings like walks, hikes, or park visits? Select one I can easily do active outings and longer walks I can do short or slower-paced outings I have some physical limitations, so outings can be tricky I'd rather avoid outings and focus on things we can do at home I'd rather avoid outings myself, but I can get a friend or dog walker to help Other How physically manageable is your dog on walks, and do you use any tools to control leash pulling? Check all that apply. My dog walks nicely and I don't need any special equipment My dog pulls a bit, but I can usually manage them My dog pulls hard and I struggle to control them My dog is a puppy who isn't great about leash skills yet I use a front-clip harness or a no-pull harness I use a prong collar, choke chain, or slip lead I use a head halter (e.g. a Gentle Leader) I use an e-collar I haven't walked my dog yet Please describe your current work or school situation. For example, do you work full-time, part-time, from home? Retired? Not working? Are you a stay-at-home parent? This helps us get a sense of your capacity for training and how much time your dog spends alone. Is there anything else you'd like us to know before we start? (Don't worry about explaining details of your dog's behavior challenges yet. We'll discuss that at your first coaching session) Submit
