DogSmith Dog Training, Dog Walking and Pet Care Franchise

Smith; (noun) One who expertly works at something specified. Often used in combination blacksmith, locksmith, wordsmith, DogSmith

1-888-Dog-Smith (364-7648)

The DogSmith of East Pensacola
Catherine M. Zehner, CDT
CGC Evaluator
Delta Society Pet Partner
William J. Zehner, Jr., CDT
1-888-Dog-Smith (364-7648)
czehner@DogSmith.com

Private Training Registration
What is the current dog behavior problem you are seeking help with
What is your goal in terms of the problematic behavior, what would be your ideal outcome.
First Name
Last Name
How did you hear about us?	Other:
Address
City	Zip
Referral Veterinary Surgeon or Other Person
Cell Phone	Home Phone
Email Address
Name of Dog
Breed/Type
Age	Sex
Is your pet neutered?
If yes, when was it done?
What is the best time to reach you
How would you like us to contact you?
EARLY HISTORY
How old was your dog when you obtained it?
Can you remember where your dog came from Breeder, Other Shelter?
Please add comment if you select other?
Is this your first dog other than a childhood pet?
If you have had other dogs please lists breeds
FEEDING & DIET
What brand of food do you feed your dog?
How many times per day is he/she fed?
Do you give any food supplements?
Does he/she enjoy their food?
Do you feed your dog tit-bits?
If yes, please describe
EXERCISE
What type of exercise does your dog have?
How many hours of exercise per day? Alone or with other dogs?
Does he/she enjoy their walks?
Is there any interaction/play with other dogs
Do you keep your dog on a leash?
What is your dog’s favorite toy?
Does your dog have free access to the toys
HOUSING
Where does your dog sleep at night
Where does your dog stay when you go out?
Is he/she left regularly? If so for how long in hours?
Are there any problems when you leave your dog?
If yes, what happens?
Do you leave toys or other distractions
Is there access to the garden?
When you are home does your dog follow you around?
TRAINING HISTORY
Have you ever attended training classes with your dog?
How long did you attend training?
How did you toilet train your dog?
Has your dog every growled at anyone?
Has your dog ever snapped at a person?
Has your dog every bitten a person?
Does your dog share its toys?
Does your dog guard its food?
Does your dog have doggie friends other than its siblings?
FAMILY MEMBERS
How many people live in your household?	Adults Children
Does everyone interact with the dog?
Do you have any other animals?
If yes, describe.
MEDICAL HISTORY
Does your dog have any current medical problems to your knowledge?
When did your dog last have an annual wellness check with your veterinarian?
Please check to verify that your dog is current on the following vaccinations	DHPP Rabies
When did your pet last have a fecal test?
By submitting a private training registration you are agreeing to the Private Training Policy.