CLIENT INTAKE FORM

Client name*

Will anyone else be particitpating in the training?*

Your dog(s) name*

Dog(s) age*

Dog(s) sex*

Is your dog(s) desexed? If yes, when were they?*

Your dog(s) weight*

Does your dog(s) have any health concerns?*

How many people are living in the house where your dog(s) resides?*

What is each person's relationship to you and your dog(s)?*

Where do you live? (unit, house with small yard or large yard, busy area, etc)*

How much time does your dog(s) spend inside and outside? Does your dog(s) have free range or are they monitored?*

Are there children in the home? If yes, please list their ages?*

If no, does your dog(s) currently interact with any children/ do you anticipate your dog to interact with children in the future?

Where did you acquire your dog(s)? (breeder, shelter, rehome, etc). If rehomed, do you know the circumstances of why they were rehomed?*

How long have you owned the dog(s)?*

Have you previously completed training with your dog(s)? If yes, briefly describe the type of training (where, when, trainer's name if you are comfortable sharing), type of training methods, the outcome of the training*

What training tools/collars did your trainer use?*

What commands does your dog(s) know?*

Has your dog(s) ever attended a daycare/walking service? If yes, have they ever been excused? If the answer is yes, please describe the reason the daycare gave for excusing your dog(s).*

If the answer was yes to above, if you are comfortable, please let us know the name of the daycare your dog(s) attended.

Is your dog(s) crate trained?*

How many hours is your dog(s) left alone or crated during the day?*

Are your dog(s) allowed on furniture?*

Where do your dog(s) sleep at night?*

Do you have any other pets? If yes, how does your dog(s) interact with them?

What do you do if your dog(s) does something you don't like?*

Do you play with your dog(s)? What kind of games (i.e. tug, fetch, etc.) How often?*

Do you exercise your dog(s)?

How do you provide mental exercise for your dog(s)? i.e. scent work, treat puzzles, etc.*

Do you walk your dog(s)? How often, how long and where?*

How does your dog(s) behave on a walk (i.e. walks politley by our side, pulls ahead, is reactive on leash to ther dogs or people)?*

Short answerHow does your dog(s) behave at the vet?*

Is your dog(s) uncomfortable with having their body handled for grooming, baths, nail trims, ear cleaning, etc?*

Does your dog(s) behaviour occur in certain situations? (e.g. off leash, on leash, when nearby or far away?) If multi dog household, does one dog trigger the behaviour of the other, or does your dog(s) do the behaviour regardless?*

Are there any circumstances that exacerbate the problem?*

How often does the behaviour occur? (Multiple times per day, daily, weekly, etc).*

Has the behaviour recently changed? (Increased, decreased, remained the same, etc).*

If answer above was yes, Are there any recent changes that may have triggered/exacerbated the problem?

When was the first time your dog(s) displayed the behaviour problem? Where were you in relation to the dog(s) when the behaviour occured? (e.g. next to them, far away, etc).*

What has been your strategy for dealing with the behaviour issue? Has this helped?*

If the answer was no to the above question, what is your response to your dog(s) negative behaviour? How does your dog(s) react to this response?*

What are the specific things you would like your dog(s) to do, and what specific things would you like your dog(s) to stop doing?*

In what ways does your dog(s)' behaviour have the biggest negative impact on your quality of life?*

Is there anything else Urban Wolves should know?*