Your name:
Your email:
Your dog's name and breed (or likely mix thereof):
Dog's age:
Where did you aquire your dog and at what age?:
Any other pets in the house?:
What is your dog's daily diet? (Including treats, rawhides, ect.) Are there specific treats that he/she prefers? Any food allergies?
When was his/her last vet visit? What was the outcome?
Any chronic medical issues that you are aware of?
What has caused you to seek a behavior consultation?
Describe the first incident that you observed this behavior:
What is your dog's daily exercise routine and how long does it last? (walks, fetch, tug, swimming, ect.):
Has your dog ever lunged, growled at, snapped at, or bitten a human or other animal? If so, what was the situation that lead up to this reaction?
If your dog has bitten, was medical attention needed?
How does your dog respond to new visitors in the home?
Has your dog had prior training? If so, at what facility or with what trainer?
Is this your first dog? If no, what breeds have you lived with?
What is your dog's favorite game and/or toy?
Tell me one thing you LOVE about your dog:
How did you hear about Smart Paws?
Any other concerns or questions?: