Fields marked * are mandatory. Your Details Name * Address * Mobile * Email * Typical availability * When are you available for training sessions? Dog's Details Name * Breed * Gender * MaleFemale Neutered * YesNo Date of Birth Age * Medical Details Last Vet Visit Medical History Medication History and Personality Previous Homes * Rehoming Age * Length of Ownership * Personality and Behaviour * Family Number of Adults * Comments Do you have any comments on the relationship between the dog and any of the adults in the family? Number of Teenagers * Comments Do you have any comments on the relationship between the dog and any of the teenagers in the family? Number of Children * Comments Do you have any comments on the relationship between the dog and any of the children in the family? Number of Toddlers * Comments Do you have any comments on the relationship between the dog and any of the toddlers in the family? Number of Babies * Comments Do you have any comments on the relationship between the dog and any of the babies in the family? Number of Dogs * Comments Do you have any comments on the relationship between the dog and any of the dogs in the family? Number of Cats * Comments Do you have any comments on the relationship between the dog and any of the cats in the family? Number of Other Animals * Comments Do you have any comments on the relationship between the dog and any of the other animals in the family? Routines Daily Routine * Please describe the dog's daily routine. Food * What's the name and brand of the food your dog eats? Live and Sleep * Where does the dog spend most of his time? What are the dog's sleeping arrangement and sleeping habits? How much sleep does the dog get? Training Formal Training Informal Training Activities Do you do or have you done any activities with your dog such as agility or scent work? Safety Dogs * How does the dog respond to other dogs? People * How does the dog respond to people in public and how does the dog respond to guests to the house? Children * Other than members of the immediate family, what contact does the dog have with children and how does he respond to children? Problem Behaviours Behaviour to be Addressed * Please give details of the behaviour to be addressed. Do you know when the behaviour started? Can you think of anything that coincided with the behaviour starting? Previous Advice Please list any advice that you've followed in other to address the behaviour. Expectations * What are your expectations with regards to rehabilitation? Signed By * On *
