Pawsitive Practice Training & Behavior Consulting
5180 Burnt Hickory Rd NW, Kennesaw, GA 30152
PawsitivePractice.Com
404-353-2416
Transformer Action Plan Worksheet
Please fill out this form and return it to at least 2 days prior to your first Transformer Session. You only need to do this once:
Client Full Name:
Client Cell Phone Number:
Client Email:
Dog’s Name:
Dog’s Age:
Dog’s Breed or Best Guess:
Dog’s Weight:
Date Of First Transformer Session:
Behavioral Section
Tell Me About The Behavior You Would Like To Change:
Provide Background On This Behavior
1. How long has the behavior been occurring?
2. When does this problem behavior occur?
3. What does this problem look like at its worst?
4. What have you done to try and keep this behavior from occurring (management)?
5. What are the results of your management efforts?
6. What have you done to attempt to correct/change the problem behavior?
7. What are the results of your attempted behavior change efforts?
8. Are there other pets in your home?
9. What do the other pets do when this problem behavior occurs?
10. Are there other people in your household?
11. What do the other people in the household do when this problem occurs?
12. What forms of punishment do you use when your dog does something wrong, and how often do you use these punishers?
Management Section
List all the management tools you currently own to help with your dog: (leash, harness, baby gate, etc.):
Behavior Change Section
Here is an example: I want my dog to stop jumping on guests when they arrive at my house. Instead, I would like my dog to sit on a mat and wait to be petted by guests.
Follow the formula below to fill in the blank spaces:
1. I want my dog to stop ______when ______. Instead, I would like my dog to ______(provide a desired alternative behavior to replace problem behavior).
Tools Section
Please bring to each session:
1. Your own water bowl so we don’t pass germs around unnecessarily.
2. A variety of soft-chewy treats that your dog loves.
3. A special mat, towel, or other target resting spot for your dog to settle upon and feel comfortable during resting periods.
4. A 6-foot leash. No retractable leashes. Bring a long-line leash also if we are working on distance recalls.
5. Flat collar, martingale collar, front-clip harness, back-clip harness, or head collar. No pinch, choke, or shock collars please.
6. A flexible travel crate, but only if you want to work on a kennel-up on command.
7. Any toys you would like to make part of the training sessions.
8. You may bring another person of whom is at least 7 years old or older with you, but this person must be capable of self-entertainment during down times. ;)
9. Any other items you want to include in the training process (ie potty bells, whistles, car ramps, assistance stairs, grooming tools, etc).
10. Potty bags. ;)
Arrival Information
The training center is in my basement and we also use my 3 fenced-in acers. When you arrive, park near the detached garage. For your safety, please do not exit your vehicle until I come out and get you at your appointment time. I work with dogs of all issues, and I want to be sure any aggressive dogs have been cleared from the area before you exit your vehicle.
My address is 5180 Burnt Hickory Rd NW, Kennesaw, GA 30152. My address number is on the mailbox and I have a pea-gravel driveway. My personal cell phone is 404-831-9868 and textable in case you get lost. My office number is 404-353-2416 but is not a textable number.
Thank you for completing this form. Please fill it out and return it to me ASAP@
Sincerely,
Lisa Matthews
IAABC Certified Dog BehaviorConsultant (CDBC)
Nationally CertifiedProfessional Dog Trainer (CPDT-KA)
Education Specialist (EdS) Graduate of LesleyUniversity, Cambridge, MA
PAWSITIVEPRACTICE.COM
404.353.2416
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