Training Questionnaire We are not accepting new clients at this time. To be added to a waitlist, please submit the Training Questionnaire below Your Information Name * First Name Last Name Email * Address City, State Zip Code * Phone * (###) ### #### May I text you? * Yes No How did you find out about Sassafras Training? * If a referral, please tell us who sent you! About Your Dog Your dog's name * Your dog's sex * Male Female Is your dog spayed/neutered? * Yes No Where did you get your dog? * Breeder, rescue, shelter, as a gift, etc. Include breeder or rescue name if applicable. Your dog's breed or breed mix * If unknown please make your best guess! Your dog's weight (approximate) * Your dog's age * How long has your dog been with you? * Dog Behavior What are your top 3 behavioral concerns for your dog? * Was there a particular incident that prompted you to seek help at this time with your dog? Dog Behavior Details What type of training are you interested in? * Private Lessons Day Trains Group Classes Not sure Have you reviewed the training options and pricing on our website? * Yes No How does your dog respond to strangers when they enter your home? Goes to them excitedly (in a friendly way) Jumps on them (in a friendly way) Growls/barks while going towards them Growls/barks while retreating My dog would bite people if not restrained Ignores/Neutral Other How does your dog respond to strangers when meeting away from the house? Goes to them excitedly (in a friendly way) Jumps on them (in a friendly way) Growls/barks while going towards them Growls/barks while retreating My dog would bite people if not restrained Ignores/Neutral Other How does your dog respond to children? Goes to them excitedly (in a friendly way) Jumps on them (in a friendly way) Growls/barks while going towards them Growls/barks while retreating My dog would bite people if not restrained Ignores/Neutral Not sure Please check the areas your dog needs help with: * Housebreaking Bolting out doors Misbehaving in automobiles Chewing things Jumping on people Running away Excessive barking Crate training Doesn't listen Food aggression Digging Stealing things Fearfulness & shyness Whining Play biting/mouthing Chasing (kids, cats, cars, other) Over-protective Growling Over-activeness Counter surfing Pulling on the leash Mounting people Marks territory inappropriately Biting/nipping Mounting other dogs Separation anxiety Possessiveness over items Eats feces Reacting poorly to dogs while on leash Other Details How much exercise per day does your dog get? * What type of exercise? Do you think you're meeting your dog's exercise needs overall? Yes No Is your dog currently on any medications? * Yes No If so, what and for how long? Is your dog prone to or recovering from any injuries? * If yes, please explain What brand of dog food do you feed your dog? * How do you feed your dog? * Free feed (food always available) Specific times What percentage of time is your dog inside? Is your dog crate trained? * Yes No In progress Does your dog like to ride in the car? Yes No In the car does your dog ride: Check all that apply. In a crate Loose In a seatbelt/harness Do you walk your dog? Yes No Does your dog pull on the leash? Yes No What kind of leash/collar/equipment do you currently use or have ever used? * Check all that apply. Flat collar (belt/buckle collar) Head collar (Halti, Gentle Leader, etc.) Harness (leash attached to back) Harness (leash attached to chest) Slip lead/collar Prong collar Remote/electonic collar Off leash Other OtherPerimeter collar (to keep dog on property) When your dog sees another dog, does he/she: * Ignore the other dog Growl/bark and show aggression (eg. lunges) Growl and tries to get away or hide Show some interest but keeps walking Wag tail in a playful manner/want to play Pull hard to get to the other dog in a not-so-friendly way Pull hard to get to the dog in a friendly way Other What kind of 'patient' is your dog at the vet? * Great - the vet can do anything Scared - stands still with a stiff body Doesn't like it - growls and/or has snapped A little nervous but behaves for exams Terrified - urinates and/or defecates Hates it - must be muzzled or will bite Does your dog allow you to 'examine' him/her? * Touch feet, look in ears, check teeth, etc. Yes No Sometimes Does your dog allow you to groom him/her? Clip nails, brush, etc. Yes No Sometimes What happens if you interrupt your dog while he/she is eating? Doesn't appear to care Tries to eat more quickly Freezes and stands over the bowl Growls, snaps, or bites Not sure Does your dog allow you to take away a high-value or forbidden item? Eg. a bone, a toy, a sock found on the floor, etc. Yes No Not sure Has your dog had any prior training? * Yes No If yes, please describe. Eg. group classes, private lessons, board-and-train, the results of the training Are you opposed to any of the following training tools? * Clicker Head collar/halter (eg. Halti) Chain collar Prong collar Electric collar Not opposed Unsure - would like to discuss further If opposed to a particular tool, is it because: I had a bad experience My dog had a bad experience I heard it was a bad tool I'm afraid I'll hurt my dog It seems complicated What commands does your dog know and perform consistently? * What motivates your dog? * Food Affection/praise Play Not sure Please list all (human) household members and ages of children living with your dog: * Who do you think your dog listens to most in your household? * Please list all other animals in your household and their ages. Please also indicate if your dog 'gets along' with each animal: * If you have other dogs or your dog is frequently around other dogs, describe your dog's play style: Rough and rowdy Polite, gets along with most dogs Gets nervous/scared when another dog tries to play or if intensity increases Tries to insert himself when other dogs are playing Watches/observes but doesn't really like to play Mouthy Doesn't know when to stop Assertive body language and behavior Tries to avoid other dogs and snaps if they get to close Don't know Has your dog ever gotten into a fight with another dog? * Yes No If yes, please briefly describe the circumstances: If yes, was either dog injured? Yes No If yes, did the injuries require vet attention? Please describe. What do you do when your dog does something you don't like? How does your dog respond to discipline? Acts submissively Cowers Ignores Retaliates (growls, snaps) Accepts and moves on Is there anything else about your dog or your training goals that you think would be helpful? Thank you! Your form has been submitted and you have been added to the waitlist. We will contact you via email if a spot becomes available. Please contact us at info@sassafrastraining.com if you have any further questions.
