New Client Questionnaire

Fields marked with an * are required

First Name *

Last Name *

Have you reviewed our programs and pricing? *

If you answered "No" for this question, please review our "What We Offer" page, watch the videos, and read our FAQs before submitting this form.

Email *

Evening Phone *

Daytime Phone

Address

City *

Zip *

Date *

Best Time to Contact *

Dog's Name *

Dog's Age *

Dog's Breed *

Total Number of Dogs in Household *

Dog's Sex *

Spayed/Neutered *

Has your dog ever bitten / attempted to bite a dog or human? *

How does your dog react to other dogs? Please describe in detail. *

How does your dog behave while in a store? *

How does your dog behave while at the vet’s office? *

How does your dog behave around men/women/children/babies? *

How do you currently correct unwanted behavior? *

What does your dog act like when nervous or stressed? *

Does your dog have any medical history that may be pertinent? *

Please detail any other important information or history.

What are your training goals? *

Are you familiar with our methods and tools? *

If you have reviewed the videos and FAQs, the answer to the above question should always be yes.

What type of program are you most interested in? *

How did you hear about us? *