Dodge County Canine
Professional Dog Trainer Force-Free, Positive Reinforcement Training
Background Information Form
Please take your time filling out this form.  The more information I have, the better and the less time I need to spend asking questions when we meet.    Any additional information put in the comments section.  
Date of last veterinary exam:
Please provde any additional information you feel would help my assessment.
Email
Street Address
Phone
City, State, and Zip
Name of Dog
Dog's age, sex, breed
Is your dog spayed or neutered?
Where did you get your dog from? (Breeder, rescue, shelter, friend, etc.)
Name of veterinary clinc used:
Is your dog housebroken?
Is your dog crate trained?
How many hours is your dog home alone?
How many adults in the house?
How many children in the home? Provide ages.
Are there other pets in the home? Provide types, ages, etc.
Have you worked with other trainers? if yes, provide name.
Has your dog bitten a human (broke skin, caused brusing)?
Is your dog good with other dogs? If no, please explain.
Is your dog good with people? Children? If no, explain.
What problems are you having with your dog?
What have you done to fix the problems?
What food do you feed? How often? How much?
Owner's info - first and last name
How much exercise does your dog get per day? How often?
Is your dog on any medication or herbal supplement(s)?
When did these issues start?
How much time per day can you work with your dog?
Are you open to changing your routine? Food? Adding supplements?
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Thank you for working with your dog and contacting me for guidance.