Basic Dog Training Assessment About YouName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Okay to text?* Yes No How did you hear about us?*About the DogName*Sex*Age*Breed*Where did you get your dog?*What age did he/she come to live with you?*What are your top 3 behavior concerns?Have you worked with a trainer before?* Yes No Has anything happened with a previous trainer that may affect current or future training?*Has an incident occurred to prompt you to look for a trainer or do you just want basic commands taught?*With Strangers - How does your dog behave when a stranger enters your home?* Ignores Excitedly greets them in a friendly manner Jumps on people Growls/barks while retreating Growls/barks while going toward them My dog would bite people if I did not restrain him/her Other How does your dog behave when he meets a stranger away from home?* Ignores Excitedly greets them in a friendly manner Jumps on people Growls/barks while retreating Growls/barks while going toward them My dog would bite if I did not restrain him/her Other How does your dog behave toward other dogs?* Ignores Excitedly greets them in a friendly manner Is possessive of his things and his people Growls/barks while retreating Growls/barks while going toward them My dog would bite people if I did not restrain him/her Other Please check the behaviors below that your dog needs help with* Housebreaking Jumping on people Digging and chewing Play biting/mouthing Pulling on the leash Reacting poorly to other dogs while on leash Bolting out of doorways / Running away Stealing things Chasing (kids, cat, cars, etc.) Mounting people Mounting other dogs Excitability in the car Excessive barking Fearfulness and shyness Being overprotective Marking their territory Separation anxiety Begging Crate training Whining Growling Biting/nipping Possessiveness (resource guarding—won’t allow you to take items away or won’t allow other dogs around their items) Food aggression Does not listen Hyper/overactive Eats feces Counter surfing Other, please specify belowAdditional Information*