Please read before completing the behavior history form below

In order to provide the best training and behavior consulting services for you, I ask that you provide as much information as you can for you and your dog. Any information submitted is for private, internal use only. Once you have submitted your information I will reach out via email within 48 hours to coordinate with you on the next steps to get your dog the training they deserve.

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To give you an idea of how I work with clients before you commit to working with me:

I take each case very seriously and in my experience the best way to achieve long term success is when a program is designed to focus on understanding the whole dog; their learning, environment, genetics, and self. I help you to better understand your dog and all the unique things that go into WHY your dog behaves the way they do. When we understand the why, we are then able to decide how to appropriately address the behaviors of concern.

In addition to this I require that my clients work with me digitally through texts and emails leading up to and in-between in-person sessions. Supporting my clients is very important to me so I make myself as available as possible. Consistent communication is integral to a positive outcome in a client's case. I provide more constant contact with my clients than any other dog professionals in the area.

The time we spend working on your case digitally makes our in-person sessions more productive and is a requirement.

Provide as much detail as possible.

Primary handler's name

Main person responsible for the training

First Name

Last Name

Primary handlers' age

This information helps me tailor things to the individual handler's needs

Primary handler's cell phone number

(###)

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Primary handler's email address

Secondary handler's name

Another person that needs to be in the loop

First Name

Last Name

Secondary handler's cell phone number

Will be included in group texts between the trainer and primary handler

(###)

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Secondary handler's email

Will be included in group emails between the trainer and primary handler

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Names and ages of all children who live with your dog.

How did you hear about Shake On It Pet Training?

What package do you want to sign up for?

Virtual - Zoom or Google meeting consulting

In person consulting - Your home or on location

Your Dog's Information

Dogs name

Breed or breed mix

Dog's age

Dog's weight

Gender

Female

Male

Spayed/Neutered?

YES

What health or grooming related issues do you need help with?

Descrbe exactly what your dog does when you take them to the vet or groomer.

Barks, charges, lunges, growls, air snaps, bites, hackles up, runs away, hides, sniffs quietly, etc.

How long has your dog struggled with these issues?

What are you hoping to get out of this program?

Does your dog have any health or grooming related deadlines coming up?

Vaccines, hair cut, etc.

Your veterinarian's and/or groomer's contact info:

Does your dog require a muzzle or sedation when basic care is preformed on him/her?

Has your dog ever bitten you, a veterinarian, vet tech, or groomer?

Describe all the bites your dog has inflicted on a human. Include severity .

How long have you had this dog?

Is your dog crate trained?

YES

WORKING ON IT

What discussion have you had with your veterinarian or groomer about your dog's behavior at their facility?

Date of your dog's last wellness visit at your veterinarian?

List all medical conditions and allergies your dog has.

List all medications and supplements your dog is taking.

Has your dog had a traumatic experience at the vet or groomer?

How will your dog receive me as a guest in your home?

You will be required to provide consistent updates via text, email, or google docs as well as provide video homework. This ensures that I am able to coach you efficiently to keep you progressing toward your goals. Will you be able to do this?

If no, please explain.

Is there anything else you would like to add?