Behavioral Consultation Request Form
First Name
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Last Name
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Phone
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Email
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Address
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City
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State
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Postal code
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Tell us about your dog
Dog's Name
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Breed
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Dog Age
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Gender
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Male - Intact
Male - Neutered
Female - Intact
Female - Spayed
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Previous Trainer(s)
How did you hear about us?
*
History of Aggresive Behaviors
Aggressive towards dogs (and/or other animals)
Aggressive towards people
Agressive towards dogs (and/or other animals) and people
No aggressive behaviors
Aggression/Reactivity Details
Bite History
*
My dog has bitten humans
My dog has bitten dogs or other animals
My dog has bitten humans and dogs/other animals
My dog has NOT bitten humans or animals
Bite History Details
What Obedience or Skills Does Your Dog Know Well?
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Training Goals for Your Dog
*
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