On Cue Dog Training Assessment Form

First name

Last name

Email

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Dog Profile

Name

Breed

Sex

Intact Male

Neutered Male

Intact Female

Spayed Female

Dog's Date of Birth (if known)

Month

Day

Year

Approximate age of dog (if date of birth is not known)

Date You Obtained Your Dog

Month

Day

Year

Where did you obtain your dog?

For what purpose was your pet obtained?

Please describe your dog's personality (quiet, confident, excitable, unruly, bold, stubborn, etc.)

Household Dynamics

Names and ages of all children in the household:

List other pets in the home:

Describe how your pets get along:

Daily Activities and Routine

Types of exercise/play:

How often and for how long is your dog exercised?

What are your dogs favorite games/activities?

Where does your dog sleep at night?

Where does your dog nap during the day?

Do you use a crate for your dog?

Yes

No

If "Yes", what is the crate used for?

What is your dog's reaction to being crated?

Previous Training

What previous training has your dog had?

None

Class(es)

Private Training

Self Trained

What training methods have been used with your dog?

Reward Based

Assertive/Domineering

Correction Based

Other

Is there any ongoing training? If yes, please describe.

Describe your dog's learning ability:

Additional Information

Please describe any other information that you feel is relevant in regards to your dog's training:

What are your main training goals? List the top five starting with your most desired goal.

Vaccination Policy

For the safety of all dogs in our care, On Cue Dog Training requires proof of current vaccinations.

Required Vaccines: - Rabies - DHPP (Distemper, Hepatitis, Parainfluenza, Parvovirus) - Bordetella (Kennel Cough)

Recommended Vaccines: - Leptospirosis - Canine Influenza

Please upload a copy of your dog’s vaccination records prior to your first session or bring a copy with you to your first session.

Current Vaccination Records

By signing below, I acknowledge that my dog is current on required vaccinations

Signature field is empty.

Todays Date:

Month

Day

Year