Primary handler's name
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First Name
Last Name
Primary handler's cell phone number
*
Text communication is required
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Secondary handler's name
Another person you'd like in the loop
First Name
Last Name
Secondary handler's age
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Secondary handler's cell phone number
Will be included in group texts between the trainer and primary handler
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Do you want the secondary handler to be included in all emails and text correspondence?
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Address
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Some locations are subject to a travel fee
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
What's the latest hour that you are okay with receiving text messages?
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Names and ages of all children who live with your dog.
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How did you hear about Shake On It Pet Behavior Consulting?
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What package do you want to sign up for?
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What exactly is your dog doing that you are seeking help for? (who, what, where, when, how long) Please provide examples of what's been going on that you are concerned about.
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Please list your concerns in order of priority to you.
How long have you been experiencing the behavior concerns with your dog?
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What have you done to try and address the behaviors you are concerned about?
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Are you prepared for it to take a significant amount of time to resolve the issues you're concerned about?
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What are your goals for your pet's behaviors of concern? Tell me exactly what you want your dog to do or be able to do (not what you don't want them to do)
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How will your dog receive me as a guest in your home?
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Dog's name
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Breed or breed mix
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Most popular breeds were selectively bred to behave in a specific way to perform a job humans needed. Tell me everything you know about the breed you are living with.
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Often our dogs are behaving precisely the way they were designed and when put in the wrong environment they look like behavior problems.
What breed specific enrichment do you provide for your dog?
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Specific breeds were designed to specialize in different types of behaviors like scent work, herding, tracking, pulling...
Dog's age
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Dog's gender
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Spayed/Neutered?
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Dog's weight
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Are you seeing a veterinary behaviorist?
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A veterinarian who also holds a PhD in behavior
What veterinary hospital do you use?
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Underlying health issues are often the cause of many behavioral issues, what discussion have you had with your vet or vet behaviorist about your dog's behavior?
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Was your pet examined for pain? Was any blood work run to look for underlying diseases that could cause the behavior issues you're experiencing?
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This is an important step in solving pet behavior issues. Pain and diseases is a commonly overlooked cause for problem behaviors. It is estimated that 1 in 5 dogs are actively experiencing some type of pain or discomfort. Behavioral problems especially sudden aggressive outbursts is very often related to pain.
Is there something that your dog usually does but isn't doing anymore, or not doing as much anymore?
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Examples: Hesitating or refusing to take the stairs, hesitating or refusing to walk on slippery floors, Hesitating or refusing to play tug-o-war, pooping or peeing in a different posture, posture or gain seems different, avoid jumping up, sleeping in a different position, stopped greeting you at the door, stopped stretching...
If your vet has prescribed behavioral medication for your dog, please list the drug and dose as well as why your vet prescribed that particular drug.
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Does your dog have any medical conditions or allergies?
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Does your dog have any gastrointestinal symptoms? (inconsistent stool, consistently soft, diarrhea, vomiting, gas, reflux, noisy gut sounds, etc.)
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Gut health plays a part in behavior and is often an overlooked cause of behavioral issues.
What other medications and supplements is your dog taking?
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How much restful sleep would you estimate that your dog gets during the day as well as during the night?
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Not enough sleep or disrupted sleep can cause or exacerbate behavior issues.
Where did you get your dog? If you adopted your dog from a shelter, please provide any info the shelter gave you about your dog.
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How long have you lived with your dog?
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Age of your dog when you got him/her?
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Where has your dog been trained in the past?
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Organization name, trainer name
Please check any of the following that has been used to train your dog.
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Please check any of the following that is CURRENTLY being used with your dog.
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I do not use or advocate the use of aversive training methods or tools inc. pinch, prong, shock (e-collars), bark collars, force, intimidation (alpha rolls), or erroneous dominance/pack approaches. Are you open to exploring better ways to solve your dog's behavior concerns without those concepts and equipment?
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What do you do to meet your dog's physical and mental enrichment needs?
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Not meeting a dog's needs on a consistent basis is a major contributor to many common behavioral issues.
Describe a typical day for your dog.
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What other pets are living in your home?
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Please check what type of home you live in
What do you feed your dog?
Brand name and type of diet
I feed my dog from...
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My dog gets excited about...
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Has your dog ever bitten another dog? Please describe the situation and severity of the bite.
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Has your dog ever injured or killed another animal? Please describe the situation.
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Has your dog ever bitten a non-family member while out and about or as a guest in your home? Please describe the situation and severity of the bite.
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Has your dog bitten a family member? Please describe the situation and severity of the bite.
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Is there anything else you would like to add?
