Client Intake Form Name * First Name Last Name Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### How did you hear about us? * Facebook Website Referral Other What program did you select? * 1:1 Sessions Board and Train Best time to call? * Preferred method of contact * Phone Email Text Name of dog * Age of dog * Weight of dog * Breed or description * Where did you get your dog from? * Breeder Shelter Rescued Other Does your dog have any health or mobility issues? * How long have you had your dog? * Is your dog spayed/neutered * Yes No Do you ever walk your dog off-leash? * Yes No Does your dog like other dogs? * Yes No Is your dog crate trained? * Yes No Has your dog ever bitten and broken skin? (On purpose or accidental) * Yes No What equipment do you use on your dog to walk? * Have you ever hired another trainer? * No Yes Do you attend a dog park or "doggie daycare" regularly? * Yes No What are your daily activities you do with your dog? * Goals for training? * Any other household members? * Yes No Any other pets? * Yes No Have you moved with your dogs in the past 12 months? * Yes No Anything else you would like to let us know? * What are your goals out of training? * Thank you for this information, we look forward to working with you and your dog.
