History Questionnaire

dogwit

Please complete the following a minimum of 24 hours prior to your appointment time.

* Indicates required field

Name *

First

Last

Email *

ADDRESS *

Phone Number *

How did you hear about DOGWIT? *

DOG'S NAME *

Dog's Birthdate *

Dog's Gender *

Dog's Breed *

Weight *

Where did you obtain your dog? *

Is your dog up to date on vaccinations? *

When were they last vaccinated? *

Tell us about your dog's personality *

What type of food does your dog eat? *

How often do you feed your dog? *

What kind of treats does your dog receive? *

How often do you give treats? *

What are your dog's top five favourite rewards? *

Is your dog on any medications or supplements? Please list. *

Does your dog have any allergies or food sensitivities? *

Do you have any other pets? Please list (species, breed, age) and include how your dog gets along with each *

Please list all family members in the home and include how your dog gets along with each *

Where does your dog sleep? *

Is your dog allowed on the furniture? *

Is your dog allowed on the bed? *

Is your dog crate trained? *

Please describe your dog's typical daily routine *

Has your dog had previous training? What type of training techniques were used? *

Please list the obedience skills your dog knows very well *

Please list the obedience skills your dog knows somewhat well *

Please list the tricks your dog knows *

Have you ever used punishment to train your dog? Please describe *

Have you ever pinned your dog / held them down on the ground? *

How does your dog respond to nail trimming? *

How does your dog respond to you holding their collar? *

How long is your dog typically left alone during the day? *

Have you noticed any behavioural problems when leaving your dog alone? *

Has your dog ever shown any aggressive behaviour towards a person (lunging, barking, biting)? Please describe. How did you handle the situation and how did your dog respond? *

Has your dog ever shown any fearful behaviour towards a person (cowering, shying away, growling)? Please describe. How did you handle the situation and how did your dog respond? *

Has your dog ever shown any aggressive behaviour towards another dog? Please describe. How did you handle the situation and how did your dog respond? *

Has your dog ever shown any fearful behaviour towards another dog? Please describe. How did you handle the situation and how did your dog respond? *

What are the primary reasons for seeking training help? *

What are your behavioural goals for your dog? *

Have you ever considered euthanasia due to your dog's behaviour challenges? *

Why do you think the behaviour problem started? *

Does your dog have any destructive behaviour (chewing, digging, etc.)? *

Does your dog show any sensitivity to sound? *

Does your dog seem shy or timid? *

Please list any other problem behaviours not identified previously *

Do you have any additional comments that we may find helpful? *

Waiver, Assumption of Risk, and Hold Harmless Agreement

I understand that dog training and interaction is not without risk to myself, members of my family or guests who may participate, or my dog, as dogs may go through times where they are difficult to control even when handled with the greatest of care. I agree that I will abide by all safety rules and requests provided by Dogwit Training Inc.’s representatives. I give Dogwit Training Inc. permission to take my dog for veterinary care, should it be required, at their discretion. I agree to pay all resulting veterinary fees.
I hereby waive all claims for damage and release and forever discharge Dogwit Training Inc., their directors, officers, employees, assistants, volunteers and representatives from any and all claims, damages, losses, or liabilities of any nature, for injury or damage which I, my dog, or my guests may suffer in connection with my participation in training services offered by Dogwit Training Inc., including specifically, but not without limitation, any injury or damage resulting from the action of any dog, travel to and from training environments, and participation in a group class. I expressly assume the risk of such damage or injury when participating in any training session or other function.

Do you understand and agree to the terms outlined in the above Waiver, Assumption of Risk, and Hold Harmless Agreement? *

I agree

Submit

History questionnaire

Please complete the following a minimum of 24 hours prior to your appointment time.