Evaluation Log 🐾

Owner's First Name

Last Name

Phone *

Email *

Secondary Phone (optional)

How did you hear about us?

Dog's Information 🐕

Dog's Name

Breed

Color

What name does your pup answer to (if different than their name)?

Spayed/Neutered

Yes

Dog's sex

Female

Male

Age

Birthdate

Does Your Dog Have Food Allergies

Yes

What types of food allergies do they have?

Previous training programs or tools used

Home Life

Number of People in the Home:

Other Animals in the Home:

Issues With Housemates

Activities You Do With Your Dog:

Activities You’d Like to Do:

Describe your dog’s behavior when seeing an unfamiliar dog at home.

Describe your dog’s behavior when seeing an unfamiliar dog away from home.

Has your dog ever initiated aggression towards another dog?

Yes

Are you concerned your dog would initiate aggression towards another dog?

Yes

Describe your dog’s behavior when seeing an unfamiliar person at home.

Describe your dog’s behavior when seeing an unfamiliar person away from home.

Has your dog ever bitten anyone

Yes

Are you concerned your dog will bite someone?

Yes

For Internal Use🐕

Able to Treat:

Yes

Able to Pet:

Yes

Overall demeanor during consultation:

For Internal Use 🐕

Challenges:

Goals:

Equipment Package

Yes

Suggested training programs

Pawsitive Beginnings Puppy Class

Immersion Academy

Day Train Academy

Evaluation Log 🐾

Dog's Information 🐕

Dog's Personality 🐕

Challenges

Home Life

For Internal Use🐕

For Internal Use 🐕