Your Behavioural Consultation Form

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Your Behavioural Consultation Form

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

Vet Name *

Vet Number *

How Did You Find Barking Buds? *

Dogs Name *

First

Last

Breed *

D.O.B and Age *

Please give your dogs Date of Birth and current age

Sex *

Male
Female

Has your dog been neutered/spayed? *

Yes
No

Are your dogs vaccinations up to date? *

Yes
No

Have you had your dog since it was a puppy? *

Yes
No

Is your dog a rescue? *

Yes
No

Has your dog been used for breeding?

Yes
No

If yes when was her last litter?

Is your dog on any medication or have any medical conditions? *

Please put any conditions in detail.

Explain your dog's personality. *

Who else lives in your household? *

Add ages in brackets please or N/A if it is just you.

Does your dog live with any other pets? *

Add species and age, for example cat (9) or N/A if just the dog.

Does your dog have access to a garden? *

Yes
No

Where is your dog kept whilst your are out of the house? *

What does your dog eat? *

dry food, wet food, raw?

What times of the day does your dog eat?

Where does your dog sleep during the day? *

Where does your dog sleep at night? *

How often does your dog go for a walk? How long for?

Ex. Twice a day for 30 mins each time.

Does your dog like to play with toys? *

Yes
No
Doesn't have toys

What is your dogs favorite toy?

Does the whole household play with the dog? *

Yes
No
Just me

Has your dog attended training classes? *

Please type what classes they have attended.

Does your dog like Men?

Does your dog like Women?

Does you dog like Children?

Does your dog like Cats?

Does your dog like Other Dogs?

That live out of the household.

Please explain in detail your dog behaviour struggles...

Things to consider: What is the behaviour struggle? When the behavior happens? Does the behaviour emerge in a specific situation? Is there a trigger for your dogs behaviour? Can you predict when the behaviour is going to happen? Why do you think the dog is exhibiting the behaviour?

How do you deal with the behaviour?

Is the behaviour...

Getting worse
Staying the same
Getting Better

Are you willing to continue the training when your trainer is not there? Whilst getting support over the phone.

Yes
No

I give permission for Barking Buds Trainers to take photos and videos of myself and my dog for training, advertising and case study purposes.

Yes
No

By typing yes below you also confirm your selection above.

By typing yes I understand that the Barking Buds Trainers are always training, learning and improving their knowledge to help your puppy to the best of their ability. *

Date / Time *

Please put today's date in this box!

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