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Contactadmin2023-07-12T22:16:34+00:00

In order to schedule a consultation, this evaluation form is required and it is the best way to contact us. If you have two dogs or more, please fill out the form separately for each dog. Your client portal information is safe and our team will respond to your new inquiry within 7 business days.

Our hours are Mon-Sat 10am-5pm.

Evaluation Form

YOUR INFORMATION
First Name*
Last Name*
Phone*
Email*
Location*
What Program Are You Interested In?*
How Did You Hear About Us?*
DOG'S INFORMATION
Dog's Name*
Dog's Breed*
Where did you get your dog?*
Dog's Age*
Dog's Gender*
Dog's Weight*
Is the dog neutered/spayed?*
If not, why? If yes, at what age?*
Any medical history?*
Do you crate your dog?*
- Yes
- No
Do you take your dog to dog parks?*
- Yes
- No
Do you do on-leash greetings? (Allow your dog to say hi to other dogs / people on walks)*
- Yes
- No
Do you take your dog to daycares?*
- Yes
- No
Which type of home do you live in?*
How many people live in your home?*
Please enter a number from 1 to 20.
How many animals?*
If you have another dog in the house, is he/she well trained already?*
Is your dog allowed on the furniture/bed?*
Does your dog have any training background? If so, please describe.*
Does your dog obey commands outside the house? Which?*
PLEASE DESCRIBE ALL BEHAVIORAL CONCERNS
*
- Play Nipping
- Destructive Chewing
- Not Potty Trained
- Marking
- Jumping
- Mounting on people/ dogs
- Excessive whining
- Excessive barking
- Digging
- Not come back when called
- No table manners
- Counter surfing
- Resource Guarding: Food / Toy / People / Space / other
- Pulling on leash
- Leash Reactivity (stalking, intense staring, growling, lunging, barking at dogs /people / bicycle / cars / squirrel (any other small preys etc)
*
- Aggression: Human / Dog / Other
- Separation Anxiety
- Crate nonsense ( whining, howling, barking, scratching, chewing etc)
- Nervous and gets stressed out easily
- Shy
- Fearful of people
- Fearful of new environments
- Fearful of foreign objects
- Scared of noise
- Difficult to be handled at the vet/ at the groomer
- Other
Has your dog ever bitten a dog / a person? If so, please describe the circumstances.*
What are your goals for this training?*
Anything you would like to add or have any questions?

415-854-6678
viki.disciplinedk9@gmail.com
disciplinedk9

We look forward to working with you and your dog. Please get to know about our training methods here and the training tools we use.

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