Please complete this form, print it & bring it with you to Dogma.
• If you do not have a printer, you can complete this form at check-in.
•If you prefer to send this information electronically, please email it to us as an attachment at info@dogmdogcare.com
Answer the questions below as they apply to your dog to the best of your ability. These will help you to determine the best training package for you and your dog. Once you’ve completed the questionnaire, send it to us and we will contact you with more information.
First Name _____________________________________________________________
Last Name _____________________________________________________________
Email _________________________________________________________________
Phone ________________________________________________________________
Dog’s Name _________________ Breed ___________________________ Age/Sex _____
Why did you choose this breed? _______________________________________________
Other Pets in Household _____________________________________________________
Other People in Household ___________________________________________________
Occupation/Time spent outside home ___________________________________________
Veterinarian _____________________________________________________________
Medical Problems/meds/allergies ______________________________________________
Brand of Food _______________ How many times per day? ___ What times is dog fed? _______
Eat right away/finish meals? □ YES □ NO
If NO, please explain __________________________ Other treats/snacks & how often ________
Where was dog obtained? __________________________________ How long ago? ________
Housebroken? _____ Crate trained? _____ Where does dog sleep? _______________________
% time indoor/outdoor? _____ Where kept when owner is gone? __________________________
Exercise Type/Frequency _______________ Equipment used on walks _____________________
Any previous training? □ YES □ NO
Behaviors dog knows/training methods used/trainer _______________________________________________________________________
How would you describe your dog’s interaction with other dogs? Circle all that apply:
| ROUGH | AROUSED | CONFIDANT |
| INDIFFERENT | SUBMISSIVE | PLAYFUL |
| ALOOF | PUSHY | AGGRESSIVE |
| FEARFUL | DOMINANT | SHY |
How would you describe your dog’s interaction with people? Circle all that apply:
| ROUGH | SUBMISSIVE | AGGRESSIVE |
| INDIFFERENT | GENTLE | PLAYFUL |
| FEARFUL | PUSHY | SHY |
| ALOOF | CUDDLY | AFFECTIONATE |
Has your dog shown any aggression? Definition: Growling, barking, lunging, nipping, biting, stalking, guarding, avoidance
□ Yes □ No
Has your dog bitten before? (includes nipping)
□ Yes □ No
Does your dog have anxiety? Definition: Shaking, constant crying, howling, barking, excessive drooling, running away from stress
□ Yes □ No
Is your dog submissive or dominant? Definitions: Submissive – rolls over exposing belly or laying down when approached by people or dogs. Dominant – approaches people or dogs in a confident, confrontational manner, tries to mount or pin other animals down.
□ Submissive □ Dominant
What is your training goal?
| On-leash training | Off-leash training |
| Companion Dog Training | Therapy Dog Training |
| Problem solving | Emotional Support Dog Training |
| Service Dog Training | Canine Good Citizen Training |
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