Dog Evaluation Form Dog Parent Information Parent Name * First Name Last Name Email * Phone Number * Address Address 1 Address 2 City State/Province Zip/Postal Code Country List the names and ages of household members. * Please include all household members including children. Dog's Info Dog's Name * Dog's Approximate Birthday * MM DD YYYY Dog's Breed/Breeds * List all that apply. Dog's Approximate Weight * Dog's Gender & Altered Status * Female - SPAYED Female - UNALTERED Male - Neutered Male - UNALTERED Dog's Behavior Which program are you interested in learning more about? * Select all that apply. Individual Session Private Lesson Program Virtual Lesson Program Board and Train Program Day School Program Are you using a crate with your dog? How is it going? * Where does your dog sleep at night? * How does your dog behave in the car? * Is there anything medically related that I should know about your dog? * What methods have you tried to correct your dog’s unwanted behaviors? * Training Goals What are you most looking to get help with right now? * Anything else you would like us to know about your dog? * Communication When is the best time to reach you? * Select all that apply. Morning Midday Afternoon Evening What is the best way to contact you? * Select all that apply Email Phone Text Thank you!