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Owner Information

First Name *

Last Name *

Phone *

Email *

Dog Information

Dog Name(s) *

Dog Breed(s) *

Dog's Age

Is your dog spayed or neutered?

Is your dog spayed or neutered?

yes
no
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Where did you get him/her and how long have you owned him/her?

Dog Behavior & Profile

What are your biggest problem areas?

Click any that apply

Leash Pulling
Leash Reactivity
Puppy Training
Jumping
Counter Surfing
Off Leash Recall Training
Aggression
Fear and Nervousness
Separation Anxiety
Barking
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What major goals and concerns do you have with your dog? *

Is your dog fearful or shy?

Has your dog ever shown aggressive towards people or dogs? *

Yes/No

Yes
No
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If so, please explain

Is your dog crate trained? *

Yes/No

Yes
No
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