New Client Questionnaire

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number (Cell Preferred) *

Alternate Phone Number (home, spouse, etc) *

Email *

Would you like to receive our monthly e-newsletter, Lady's Best Friend, with training tips, behavior support, vet info and fun dog stuff? *

Yes No

Names/Relationships of Other Household Members (Please include age of children) *

Any Other Pets? *

When are you available for sessions (days of the week, mornings, evenings, etc)? *

Name/Age/Breed of Dog *

Gender *

Male Female

Is your dog neutered/spayed? *

Yes No

How Long Have You Had Your Dog? *

Where Did You Get Your Dog? (rescue, breeder, pet shop, etc) *

History of Dog Before It Came to You (if known) *

Behavior Concerns You Wish to Address (please be specific): *

History of Behavior (how long has behavior been occurring? How often? In what situations do you see it most?) *

If you are looking for help with aggression, please explain dog's bite history (how many incidences, describe situation, result - i.e. punctures that required stitches, etc) *

Have you pursued professional support for these behavior concerns before? *

Yes No

If so, what behavior modification methods have you tried? *

Does your dog have any food/treat allergies? If so, please list. *

Does your dog have any chronic health concerns? *

Has your dog had any other training (basic obedience, private lessons, agility/skill classes, etc)? *

How did you hear about Maria G. Huntoon Canine Consulting Services? *

Thank you for taking the time to complete this questionnaire and I look forward to working with you!

Submit

New Client Questionnaire

Helping You Find Harmony With Your Best Four-Legged Friend!

Telephone

Email