New Client Questionnaire Questionnaire for private lessons, day training, or training field trips. Date Date Format: MM slash DD slash YYYY How did you hear about The Enlightened Dog?General InformationName First Last Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Mobile PhoneAlternate PhoneEmail Dog's NameBirth Date / AgeBreed (s)GenderMaleFemaleNeutered MaleSpayed FemaleVeterinarianDoes your dog have any known medical issues?Include food allergies and sensitivities.General BackgroundWhere did you get your dog?Breeder, Rescue, Shelter, etc.How old was your dog when you adopted them?If rescued, do you have any knowledge of your dog's history?If yes, please describe.How long have you had your dog?Has your dog had any formal obedience training? Where? When?What cues/commands does your dog know? How reliable are they?Household / RoutineList all human members of the household.name, relationship, gender, and age of childrenHow does your dog get along with them?List all other pets in the household.name, type, gender, and ageHow does your dog get along with them?Describe your dog's mealtimes.Include types/brand of food, how often, and how much.Does your dog eat right away and finish the entire meal?Do you leave food down for your dog to nibble throughout the day?What types of treat and chew items does your dog get, and how often?Where does your dog stay when you are not home?How long is your dog typically home alone?Where does your dog stay when you are home?Where is your dog when outside?fenced yard, leashed, tethered, loose, etc.Where does your dog sleep at night?What type of exercise does your dog get and how often?What types of toys does your dog play with? What are their favorite games?What type of collar(s) and leash do you use for walking?List everything that your dog enjoys.food, toys, activities, etc.BehaviorDescribe the behavior(s) that you are having problems with.What have you tried so far to deal with or correct the problem behaviors?Has the behavior gotten worse, better, or stayed the same since it started?On a scale of one to ten, how serious is the behavior?What are your training goals?Has your dog ever bitten anyone?If yes, explain.Describe the circumstances and severity of the bite(s).Is your dog protective of certain people, food, toys, sleeping areas, etc.Is your dog afraid of certain types of people, animals, noises, etc.How does your dog respond to strangers?How does your dog respond to other dogs?Is your dog sensitive to any part of their body being handled?Handling includes petting, normal touching, and grooming.What types of punishment or corrections do you use for unwanted behavior?What types of reinforcement or rewards do you use for behavior you like?Who will be responsible for your dog's training?Is there anything else you would like to add?
