About You

Name*

First Last

Email*

Phone*

Address*

How much time (on average) do you spend out of your home per day?*

1 hour
2 hours
3 hours
4 + hours

About Your Dog

Dog's Name*

Dog's Breed*

Dog's Sex*

Male
Female

Dog's Age*

Estimate if unknown.

Spay/Neutered*

Unaltered
Spayed
Neutered
Unknown

Why are you considering Puppy Paws?*

Socialization
Exercise
So not home alone
Exhibits symptoms of separation anxiety
Recommended by Vet or Trainer

Where did you get your dog?*

What year did you get your dog?*

I'm interested in:

Private Sessions
STAY+PLAY+TRAIN
PLAY+TRAIN
Socialization & Foundations Club
Academy Club
Group Classes
Health & Wellness Program

Does your dog have any medical problems, allergies or medications?*

What brand of food do you give your dog?*

How often per day do you feed your dog?*

Does your dog eat right away/ finish their meals?*

Yes
No
Sometimes

Does your dog take treats?*

Yes
No
Sometimes

Who is your Vet?*

Is your dog house broken?*

Yes
No
Sometimes

Is your dog crate trained?*

Yes
No

Where does your dog sleep?*

Where is he/she kept when you're gone from the house?*

Which of the following best describes your dog's level of socialization with other dogs?*

None – No knowledge of other dog interaction
Minimal – On leash encounters only
Moderate – Some off-leash playtime
Extensive – Regular visits to dog social events, dog parks, dog daycare

Has your dog had any problems previously in an off-leash environment? If yes, please check all that apply*

No
Fearful reaction in a group of dogs
Altercation or fight at a public dog park
Dismissed from a prior dog daycare
Altercation or fight with a neighbor or friends dog
Other

If "other" selected, please describe.

Has your dog had previous training?*

Yes
No

If yes, please describe?

Does your dog know any of these commands? Please choose all that apply:

Is your dog easily distracted by interesting sights, sounds, or smells?*

Does your dog ever escape from your home or yard or would escape, given the chance?*

What type of exercise does your dog get?*

Fetch
Walks
Daycare
Dog Park
None

How many minutes of exercise per day?*

What equipment do you use on walks?*

Does your dog pull excessively hard when on the leash?*

Stimulation

Some dogs show little reaction to exciting events, while others become highly excited at the slightest novelty. By circling a number on the following 5-point scales (0=Calm, 4=Extremely excitable), please indicate your own dogʼs recent tendency to become excitable in the following circumstances (please circle only one number):

Just before being taken for a walk*

Just before being taken on a car trip*

Jumping on strangers when introduced. (Playful Manner)*

Upon greeting another dog*

Has your dog ever bitten a person or another animal?*

Yes
No

If yes, please describe?

Any known aggressive behavior?*

Food with people
Food with other dogs
Toys/bones other objects with people
Toys/bones other objects with other dogs
other dogs
Unknown people
On walks
None

Any known fear/anxiety towards the following?*

Unfamiliar person outside the home
Approached by unfamiliar dog
Sudden loud noises
First exposed to new places/situations
Being touched by unfamiliar person
Strange or unfamiliar objects
None

Any known separation issue when your dog is left alone? Choose all that apply*

Restlessness/agitation/pacing
Chewing/scratching at doors, floors, windows, curtains, etc.
Barking or whining
None

What is the best day of the week to meet for training sessions?*

Monday
Tuesday
Wednesday
Thursday
Friday

What is the best time of day to meet for training sessions?*

8-12pm
12-4pm
4-8pm

What is your reason for this consultation?

Is there anything else we should know or other questions you may have?

CAPTCHA

Academy Dog Assessment

About You

About Your Dog

Stimulation

Download Our App!