About You

First Name

Last Name

Email *

Your Dog

Dog's Name

Dog's Breed

Dog's Age

Dog's Sex

Male

Female

At Home

Who lives at home with your dog?

Do you have any other pets or any other animals your dog regularly needs to share space with?

Is there anyone else who regularly interacts or cares for your dog? e.g. dog walker, other family member, neighbour etc.

Joining Your Family

How long have you owned your dog for?

How old was your dog when they joined your household?

Where did you get your dog from?

If your dog has had previous guardians, please describe the prior living situation (if known)

Medical / Health Information

Does your dog have any existing health concerns? e.g. allergies, GI sensitivities, pain etc. Please give details

Please list any medications or supplements your dog takes. Include the type and dose

When was your dog's last veterinary check-up?

Is your dog neutered?

Yes

Unknown

If neutered - How old were they when neutered?

If neutered - Did their behaviour change after neutering? Please give details.

Your Dog's Daily Activity

What does an average day look like for your dog?

List your dog's 5 favourite things (e.g. specific treats, games like tug or fetch, stroking or scritching certain spots)

List your dog's 5 least favourite things (e.g. thunder, baths, visitors etc.)

How much do you play with your dog on an average day? (not training)

Describe how you usually play together

How often do you walk your dog? e.g. once a day, several times a week etc.

How often does your dog run off lead or on a long line in nature?

Other details

Where does your dog sleep?

Behaviour Concern 1

Describe your most pressing behaviour concern

Describe the circumstances or triggers that provoke this behaviour

What behaviours does your dog do when confronted with these triggers? Describe in as much detail as you can

What do you do when your dog performs these behaviours?

How long does it take your dog to recover afterwards?

Other details

How often does this behaviour occur?

How long has this behaviour been happening for?

Anything else about this behaviour concern you want to mention?

Do you have a second behaviour concern you want to address? We don't recommend attempting to address more than three at once.

Yes

Behaviour Concern 2

Describe your second behaviour concern

Describe the circumstances or triggers that provoke this behaviour

What behaviours does your dog do when confronted with these triggers? Describe in as much detail as you can

What do you do when your dog performs these behaviours?

How long does it take your dog to recover afterwards?

Other details

How often does this behaviour occur?

How long has this behaviour been happening for?

Anything else about this behaviour concern you want to mention?

Do you have a third behaviour concern you want to address? We don't recommend attempting to address more than three at once.

Yes

Behaviour Concern 3

Describe your third behaviour concern

Describe the circumstances or triggers that provoke this behaviour

What behaviours does your dog do when confronted with these triggers? Describe in as much detail as you can

What do you do when your dog performs these behaviours?

How long does it take your dog to recover afterwards?

Other details

How often does this behaviour occur?

How long has this behaviour been happening for?

Anything else about this behaviour concern you want to mention?

Your Goals

What's your goal for working with me? What would you like your life to look like at the end of the package?

What is your minimum acceptable outcome from this package?

And if you were given permission to dream big, what would you really like to happen? Maybe not right now, or even months from now, but some time in the future. What do you secretly dream of your life with your dog becoming?