New Client Questionnaire – Okay Lady K-9 Training, L.L.C.

Client Name *

First

Last

Email *

Please enter your email, so we can follow up with you.

I have read the FAQ's Page *

Yes

I understand the tools that you use for training. *

Yes

Address *

City *

State *

Zip Code *

Phone Number *

The best number to reach you

Dog's Name *

Breed/Mix *

DOB/Age *

Weight *

Color/Unique Markings *

Please check all that apply

Male
Female
Intact
Spayed/Neutered

How did you hear about us? *

Name of Referral

How long have you had your dog? *

Were there previous owners?

Yes
No

If yes, why was the dog given up?

Type of ID

If other, please specify

Who is authorized to pick up your pet?

Desired Service *

Emergency Contact's Name *

Emergency Contact's Phone Number *

Veterinarian's Name *

Veterinarian's Phone Number *

Important Medical Information

Does your dog have allergies? *

Yes
No

If yes, list allergies here.

Does your dog take medications? *

Yes
No

If yes, please list: medication, dose and time of day given

Brand of dog food *

How much do you feed your dog per day? *

Is your dog reliably house trained *

Yes
Mostly (infrequent accidents)
No

What type of exercise does your dog get? (If not receiving any exercise at this time, note “none” and the reason.) *

Is your dog crated at night and when unsupervised? *

Does your dog bark or growl in the crate? *

Does your dog have accidents in the crate? *

Check the behaviors that apply to your dog *

If you checked that your dog is aggressive, please describe.

If you checked that your dog is fearful, please describe.

Please list other behaviors that may not be listed above.

Has your dog been trained before? If yes, how and what methods? *

Has your dog ever bitten anyone? If yes, please describe in as much detail as possible. *

Has your dog ever bitten an animal? If yes, please describe in as much detail as possible. *

Does your dog growl, bark, or lunge at other dogs, humans, or children? If so, please specify. *

Does your dog let you groom him/her or touch his/her nails? *

Does your dog let you put on/take off collars? *

Does your dog react negatively to touching/petting? *

Is your dog aggressive when people approach his/her food? *

Is your dog aggressive when people try to take his/her toy away? *

Does your dog growl when you try to move him/her off furniture? *

Please check all that apply *

Crate Trained
Jumps Fences
Destroys Bedding
Invisible fence trained

What are your training expectations? *