Clients
   
 

This form must be completed before starting a class. It will help Paw Behaviour to determine the most suitable class for your dog.

Your Information     Your Dog's Information
Your Name:    Breed:
Date:   Dog's Name:
Your Address:   Age of Dog:
Your Email:    Sex of Dog:
Confirm Email:    Desexed:
Your Phone:  
Other Information
Dog Acquired From  

If Other

  
Is this your first dog?  
Have you trained in a class before?  
Where
Do you have children at home?  
Ages
Any other pets at home?  
Type
How much time does your dog spend:   Outside:
    Inside:
How many hours per day is your dog left alone?  
Hour much time do you spend exercising your day each day?  
How do you exercise your dog?  

If Other

  
Do you show your dog?    
What are your goals in attending this course?  
What would you like your dog to do better?  
Name of your vet clinic?  
Which of the following behaviours apply to your dog? You can click on more than one option.
Aggressive towards people
Aggressive towards animals
Fearful of other dogs
Barks excessively
Dislikes grooming
Chews objects
Jumps on people
Likes to retrieve
Does not come when called
Likes to chase 		Difficult to toilet train
Anxious when left alone
Excess energy
Pushy
Pulls on lead
Likes other dogs
Suffers car sickness
Likes new people
Unruly in the car
Suspicious of strangers		 Digs excessively
Stubborn
Plays too rough
Independent
Likes/tolerates children
Inappropriate biting
Attention seeking
Fearful of water/noise/storms
Fussy about food
Chase moving objects
Other relevant information  
What do you feed your dog and when?  
How did you hear about Paw Behaviour?  
   

 
 
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