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Dog Profile

Owner/Guardian Information

Full Name*
Email*
Address*
Address (line 2)
Address (line 3)
City*
State or Province*
Zip or Postal Code*
Phone (day)*
Phone (evening)*
Fax

Animal's Information

Animals Name*
Breed/Type*
Age*
Height*
Weight/Type*
Sex*
Spayed/Neutered*	Yes No

Workshop Information

Date*
Location*

General Information

How long have had your dog?
What do you particularly like/love about your dog?
How would you describe your dog's personality? (eager to please, enthusiastic, nervous, temperamental, friendly, quiet, aloof, shy, timid etc.)
How does your dog usually respond to people he/she doesn't know?
How does your dog usually respond to dogs he/she doesn't know?
How does your dog usually respond in unfamiliar situations or places?

Living Environment

Describe your animal's living environment (housing, companions etc.)

Behaviors

Does your dog have some behavior that you wish was different? (e.g. growling, barking, lunging, biting, chewing (on what?), digging, jumping up, pulling, licking, running away, inappropriate urination, separation anxiety, hyperactivity, reactivity to cats, vehicles/machinery etc.)
What does he/she do, and when? (please be as clear as possible about circumstances under which your animal exhibits the behavior)
What have you done, if anything, to change the behavior? Has it helped?
What have you done, if anything, to change the behavior? Has it helped?

Fears

What fears does your dog have, if any? (e.g. loud noises, new environment, veterinarian, thunder storms, slippery surfaces, grooming, nail clipping, strangers, bicycles, skateboards, etc.)
How does your dog demonstrate his/her fear? (please be as specific as possible about the observed behaviors and reactions)
What have you done, if anything, to change these fears? Has it helped?
How do you usually deal with your dog's fears?

Health

Please describe your dog's health and any health concerns you may have

Other Comments

What are your goals for bringing your dog to this training?
Other comments or items of note

Signature

Owner (please type name to indicate signature)