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ABOUT US
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SERVICES
DOG GROOMING
DOG EAR CLEANING
DOG NAIL GRINDING
DOG NAIL TRIMMING
DOG PAW PAD
DOG TEETH BRUSHING
DOG TRAINING
DROP-IN GROUP CLASSES
Clicker Training Class
Conformation Classes
Agility Classes
Rally Obedience
Restaurant Etiquette
Puppy Socialization Classes
BOARD N TRAIN
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LOCATIONS
HOME
ABOUT US
ABOUT US
OUR TEAM
VIDEO GALLERY
EMPLOYMENT
SERVICES
DOG GROOMING
DOG EAR CLEANING
DOG NAIL GRINDING
DOG NAIL TRIMMING
DOG PAW PAD
DOG TEETH BRUSHING
DOG TRAINING
DROP-IN GROUP CLASSES
Clicker Training Class
Conformation Classes
Agility Classes
Rally Obedience
Restaurant Etiquette
Puppy Socialization Classes
BOARD N TRAIN
CONTACT
BOOKING
LOCATIONS
Schedule Your Appointment
630-389-9610
Training Questionnaire
Training
"
*
" indicates required fields
Your Name
*
Your Email
*
Phone Number
*
Where are you located?
*
Best Way To Contact You?
Phone
Email
Best time to contact you?
*
Hours
:
Minutes
AM
PM
AM/PM
Dog's Name
*
Breed of Dog
*
Dog's Age
*
What programs are you interested in? Check all that apply.
Signature daycare training package
One on one private in home by the lesson
Drop in group classes
Board n Train Dog Boot Camp
Executive level pick up and drop off training
Do you have a preferred trainer?
*
Yes
No
Who is the preferred trainer?
How much time do you have to dedicate to training per day? No time
*
10 to 30 min
1-2 hrs
Other (please be specific)
Please tell us how long
Sex of Dog
*
Male
Female
Spayed/Neutered
*
Yes
No
Medical History
Does your dog (now or in the past) have any medical conditions or health issues?
*
Please include any information
Is your dog on any medication now?
*
Yes
No
Medication
Why
Medication
Why
Medication
Why
Reason For Inquiry
What is the main behavior problem or complaint?
*
Additional Problems (please list)
Additional Problems (please list)
Additional Problems (please list)
Chronology of the Behavior Problem
At what age did you first notice the main problem?
At what age did it first become a serious concern?
In what general circumstances does the dog misbehave?
What have you done so far to correct the problem?
How do you discipline your dog for this and other misbehaviors (if you do)?
Training History
Is your dog housetrained?
*
Yes
No
What basic training has your dog had? (check all that apply)
None
Trained at Home
Attended Class(es)
Graduated Class(es)
Private Trainer
Other
What methods were used in training? (i.e., choke chains, clicker/treats) – Please be specific
Home Environment
Please list all animals in the household, including the dog you are bringing, in the order in which they were obtained
Other Animals
Name
Species
Breed
Sex
Add
Remove
If more than (1), please click on the plus icon to the right to add another row.
Describe your dog's relationship to the other animals
Have you moved since acquiring your dog?
*
Yes
No
How many times?
Does your dog run free in a fenced yard?
*
Yes
No
Is the dog tied outside?
*
Yes
No
Dog's Background
Why did you decide to get a dog?
*
Why did you choose this breed?
*
General Background
How does the dog behave with visitors? (children or adults, familiar or unfamiliar)
*
Where is your dog when you have guests?
*
How does your dog behave when you are leaving the house?
*
What is your dog's activity level in general? (Check one)
*
Low
Average
High
Excessive
Which of these best describes you? (check one)
*
I am here out of curiosity – problem is not serious
I would like to change the problem, but it is not serious
The problem is serious, but if remains unchanged that's alright
The problem is very serious, but if it remains unchanged I will keep my dog
The problem is very serious. If it remains unchanged, I will have my dog euthanized or give him/her up
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HOME
ABOUT US
ABOUT US
OUR TEAM
VIDEO GALLERY
EMPLOYMENT
SERVICES
DOG GROOMING
DOG EAR CLEANING
DOG NAIL GRINDING
DOG NAIL TRIMMING
DOG PAW PAD
DOG TEETH BRUSHING
DOG TRAINING
DROP-IN GROUP CLASSES
Clicker Training Class
Conformation Classes
Agility Classes
Rally Obedience
Restaurant Etiquette
Puppy Socialization Classes
BOARD N TRAIN
CONTACT
BOOKING
LOCATIONS
