Please complete one form for each of your dogs. Thank you.
You can alter the document so please give as much detail as you can. The more the better. If you are printing the document and filling it out by hand. Please number your answers and provide the extra pieces of paper labeled so that the details of the answer correspond with the question. You can return the questionnaire either in person or by scanning and sending it back as an attachment.
First Name(s):______
Last Nams(s)______
Phone Numbers – Home______
Cell ______
Cell______
Address ______
City______Postal Code______
Email Address______
Dog’s Name: ______
Age______Sex: _____Male ______Female ____ Weight ______
Spayed or neutered? ______
How Old was the dog when you got it? ______
Dog’s health: Excellent __ Good ___ Poor ___
If poor, what issues does the dog have?
Is there a part of your dog that they don’t like to have touched? ___
What is their reaction if they are touched in that spot? ______
Is your dog in pain? ___ Do you give the dog medication for pain? __
Is your dog on any other medication? __
What for? ______
What is the breed (or breeds if mixed) of your dog? ______
If you have more than one dog, which dog do you perceive as the one in charge of the other(s)?
General Information:
How many adults live in the home with your dog? ______
How many children – under 18 - live in the home with the dog? _____
What are the ages of the children? ______
Does your dog sleep in your bedroom? ______In your bed? ______
Does your dog roam free during night? ______Sleep in a crate? ______
Do other pets live in your home?
(Please tell us the species/name/age and sex of other pets).
______
Does your dog interact well with the other pets? (If no, which pet and explain the problems the dog is having).
______
Food and Feeding Time:
Do you feed your dog at specific times or do you free feed? ______
What type and brand of food do you feed your dog – dry, raw, canned? ______
How much do you feed per serving? __
Does your dog eat human food? ___ How often? ______
Can you take the food away from the dog? ____
If not, what do they do to prevent you from taking the food?
Does the dog wait for food? ____
Do they sit or lay down until you tell them to eat? ____
Do they jump or bark, whine or run about while you prepare food? ______
The Home:
Do you have a yard or garden? ___ Is it fenced? ____
Do you have invisible fencing? ____
Does your dog jump fences? ___
Does your dog dig in the yard or garden? ___
Do you crate your dog? __ Does the dog go into the crate by themselves throughout the day? ___
Has your dog ever chewed or eaten bedding while in a crate? ___
Does the dog have a “place?” A pillow or crate or rug that they lay down on? ___
Does your dog protect or guard this or any other space? ___
About your dog:
A history of biting? ______. If yes, provide detailed history of each event.
The more detail you provide the better. There is always context to a situation.
Aggressive with other dogs?___A history of fighting? ____
Is your dog still aggressive or a fighter? ____
What have you done to alter the dog’s behavior?
Is your dog high energy? ___
Does your dog calm down easily? ___
Does your dog have a favorite toy? _____
Can you take the toy from the dog whenever you wish? ____
Can a stranger? ___
How much exercise does your dog get in one day? ____
One week? ____
How much exercise does your dog get off-leash in one day? ____
One week? ____
Does the dog pull on the leash? ____
Is your dog leash reactive? If so describe the circumstance that would cause the reactivity______
Bark often? ____
Bark at the door-bell or a knock at the door? ____
Growl at family members? ____
Growl at new people? ____
How does your dog react to new people in general?______
Does the dog jump on people? ____
Does the dog guard toys or objects? ____
Will the dog allow you to take a bone from them? ____
Does your dog play bite? ____ Has it ever led to injury? ___ Explain please.
Chew furniture or other objects? ___ Please provide details.
Collect items such as socks or toys? ____
When you recall your dog do they respond and return? ____
Do they ignore you? ____
Will the dog bolt through an open door? ____
Is your dog shy? ___
Does your dog have separation anxiety? ___
Is your dog anxious? ___ Always? ___
Give an example of a situation that would make your dog anxious.
Is your dog nervous? ___ Always? ___
Provide an example of a situation that would make your dog nervous.
Is your dog ok with being handled, leashed and walked by a stranger?
Does your dog attend any dog daycare, kennel, off leash dog park, or another social situation on a regular basis?
How often?
Have you and your dog completed successfully basic obedience training?
Is there anything that has not been covered about your dog you feel we should know?
And Last but not least….. What is the top 3 things that would really change your relationship with your dog, what do you want to achieve?______
What Training Program are you interested in? Privates? Board and Train?
______
Go to our website for more info and prices
Pawsinparadise.ca
Upon completion of this questionnaire please resave it, and send back to or
You will be contacted about which of our many training programs would be best for you and your dog.
Since we offer many options and we like to customize the training program to meet each clients specific needs, the more detail you give us the better we can place you into one of our programs.