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All Stage Canine Development
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All Stage Canine Development
The Best Dog Grooming and Dog Training in Sacramento
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Obedience and Behavior Modification Questionnaire
ALL STAGE CANINE DEVELOPMENT
Obedience and Behavior Modification Application
Kindly complete the form below
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Name
*
Phone
*
Address
*
Email
*
Please give a quick description of your concerns as well as your desired end goal with your dog
*
Who is your Veterinarian? Groomer?
*
How did you hear about us?
*
Part 1
Pet's Name
*
Breed
*
Age
*
Sex
*
Male
Female
Does your dog have any medical conditions or diseases?
*
Yes
No
Is your dog on any medications?
*
Yes
No
Does your dog have special dietary needs?
*
Yes
No
Is your dog completely vaccinated?
*
Yes
No
Has your dog ever bitten another dog or person?
*
Yes
No
How does your dog react around strangers?
*
How does your dog react around children?
*
Part 2
Do you have any other animals in the household?
*
Yes
No
Do any of them have specialized training certifications?
*
Yes
No
Are all other animals in the household completely vaccinated?
*
Yes
No
Do you live in an apartment or a home?
*
If you have a yard, is it completely secure?
*
Yes
No
Are there any other people living in your residence?
*
Yes
No
Are you employed?
*
Yes
No
Can you dedicate time every day for training?
*
Yes
No
Part 3
Have you completed any training with your dog?
*
Yes
No
What was the training style?
*
Did you use treats?
*
Yes
No
Did you use any training collars or tools during the training?
*
Yes
No
Do you still use the training tools listed?
*
Yes
No
Did you face any sort of challenges during the training?
*
Part 4
What, if any, behavioral issues are you facing?
*
How long have you been facing these issues?
*
Have there been any changes in your household, big or small? Please be detailed.
*
Have these behavioral issues resulted in self-inflicted harm? Please be detailed.
*
What tools or methods have you already tried to address this issue. Please be detailed and give explanations on how your dog reacted to them.
*
Can you think of any other information that might be important for us to know? Please note.
*
Submit
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