Info sheet-Behavior mod

Welcome to Kay's K9s! Please answer all questions to the best of your ability.

Name*

Address*

Phone*

Email*

example@example.com

Referred by*

Number of people in household*

Number of children w/ ages

Main caretaker of dog

Best Method of Contact for you*

TextEmailOther

Dog's Name*

Breed*

Age*

Spayed/Neutered*

Weight

Veterinarian's office*

Medical issues/allergies*

Did you adopt or purchase from a breeder?*

Breeder/Rescue name

Describe previous home/homes (if known)

What type of food does your dog eat?*

How often does your dog eat?*

Does your dog eat all their food at once or do they graze throughout the day?*

List any other animals in the household*

What type of exercise does your dog get and how often?*

What type of enrichment activities does your dog do if any?

Is your dog crate trained?*

YesNo

If yes, how long is your dog typically in the crate daily?

Does your dog have any previous obedience training?*

What cues does your dog know? (they perform perfectly every time!)*

When was your dog's last vet visit?*

Is your dog up-to-date on vaccinations including Rabies? (please email these to me separately)*

YesNo

Where is your dog when you go away for a few hours?*

Is your dog ever left alone outdoors? If so, how often and for how long?*

How does your dog react to other dogs?*

How does your dog react to other small animals like cats, rabbits, squirrels, etc?*

Has your dog ever displayed any threatening behaviors, growling, bite attempts or bites?*

Yes- all of the aboveNo-None of the aboveYes- but no actual bites

If yes, please describe in as much detail as possible.

What is your primary reason for seeking training for your dog?*

How would you describe the severity of the issues?*

MildModerateSevere

Have you ever considered rehoming or humane euthanasia for your dog at any time?*

Yes- RehomingYes- Humane EuthanasiaYes- I've looked into all optionsNo- I have not but I would consider both optionsNo- I have not and would consider rehoming, but not euthanasiaNo- I have not and would not consider either option, I am committed to fixing the problem whatever it takes!

When did the problem start?*

How often does the problem occur?*

Has there been recent changes in frequency or severity?*

What has been done so far to try and correct the problem?*

Does your dog have any phobias? If yes, please describe.*