Date of booked consultation
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MM
DD
YYYY
Time of booked consultation
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Hour
Minute
Second
AM
PM
How did you hear about us?
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Name
First Name
Last Name
Partner's name
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(if applicable)
First Name
Last Name
Dog's name
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Sex
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Male
Male desexed
Female
Female desexed
Breed
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Age
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For how long have you had your dog? What age were they when you obtained them?
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From where did you obtain your dog?
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Breeder
Shelter / Rescue
Private sale (Gumtree, Trading Post)
Family or friend
Do you have any history for your pet?
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Such as information from a previous home, or information from time in foster?
Reason for consultation
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What are your training goals?
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What will be the outcome if you cannot achieve these goals?
We'll live with the behaviour and manage it
We'll re-home our dog
Euthanasia
When did the problem behaviour begin?
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Has the problem changed in frequency or severity?
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Have you done anything to attempt to solve the problem behaviour so far?
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Has it worked? Did it get better, worse, or stay the same?
Please advise who lives in the home?
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Please include role within the home, gender identity, age, and how often at home - eg. John, Father, 35 years, gone for 8 hour work days 5 days a week.
Who is the dog's primary owner?
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Please advise what other pets live in the home.
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Please include name, species, sex, age and whether or not they are desexed.
Did you meet your dog's parents?
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Please give details about their breed, age, temperament, how many in the litter, number of previous litters etc.
Please provide some insight on your dog's routine.
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When was the last time your dog visited their Veterinarian?
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MM
DD
YYYY
Weight and date of last weight
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Are you consulting with a Veterinary Behaviourist or have you previously?
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Please provide their details
Has your dog consulted with another Trainer or Behaviour Specialist before? One on one or class environment?
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Please give details
What physical activity does your dog engage in and how often?
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Is your dog motivated by food? Please list their three favourite foods.
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Is your dog motivated by play? Please list their three favourite toys.
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Where is your dog when people are at home?
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Where is your dog when no one is at home?
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Where does your dog sleep at night?
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Where is your dog when people visit?
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How does your dog respond to visitors?
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Please identify what training tools have been used when training or walking your dog.
What training or walking tool do you currently use?
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What training approaches have been used?
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How does your dog respond to you leaving and returning the home?
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How does your dog respond to familiar and unfamiliar people? Both inside the home and out on the street?
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Please be as descriptive as possible.
How does your dog respond to familiar and unfamiliar dogs? Both inside the home and out on the street?
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Please be as descriptive as possible.
Does your dog follow cues at home? Does your dog follow cues on outings?
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Does your dog excessively whine or bark?
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Does your dog toilet inappropriately?
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Has your dog ever escaped?
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Does your dog exhibit signs of stress or undesirable behaviour when left alone?
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Does your dog guard or use aggression around food, bedding, toys, people etc?
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Has your dog ever used aggression?
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Please be descriptive and answer the following questions: Who was the target of the aggression use? How old were they? How many incidents have there been? Do you know what triggered the aggression use? What happened after the incident? Did a bite occur? Did it bruise, scratch, puncture, once or did the dog keep biting, was there blood, did it require medication attention?
How many times has your dog snapped and missed?
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Has any legal action been taken against your dog?
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Is there anything else you think we should know?
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Just a reminder that by engaging in our services you automatically agree to our Terms & Conditions of service.
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These are outlined on our website (Services>Forms & Documents>Terms & Conditions of Service). Given you are agreeing to these, it is highly advisable that you read and understand this policy. If you have questions, or disagree, please contact us prior to your booking.
