Zoomeez Dog Training - Dog Form
Date of birth
At what age?
Where did you obtain your dog?
How long have you had your dog?
Date of last visit?
Reason for last visit?
Current health problems/medications
Past medical conditions/treatment
Does your dog have any allergies, including food allergies?
I don't know
Please tell us what allergies they have?
Is your dog easily handled by the vet staff?
Has he/she ever had to be muzzled?
Is your dog on heartworm preventative?
What brand of heart worm preventative?
Is your dog on flea and/or tick preventative?
What brand of flea/tick preventative?
What type of food do you feed including the brand (e.g., raw, dry kibble, canned)
At approximately what times?
Does your dog finish all food at meals?
If not, how long is the food left down?
Does your dog receive treats/chewies?
What type of treats?
Please list 3 of your dog’s favorite foods/treats.
Has your dog ever become possessive of his food or a treat?
Please describe the possessiveness in as much detail as possible.
Is your dog reliably housetrained?
Mostly (infrequent accidents)
Is your dog crate trained?
Paper/pad or tray trained?
Do you have a dog door?
If not, how many times daily do you let your dog out (or take him on walks) to eliminate when you are at home?
How many times per day does your dog normally defecate?
What type of exercise does your dog get? (If not receiving any exercise at this time, note “none” and the reason.)
How long does the exercise last/how often is it provided? (For example, “a 15-minute walk three times daily,” or “plays with neighbor’s dog for an hour once a week.”)
If walks are provided, what type of collar and leash is being used? (Collar examples: “regular buckle collar,” “head halter,” “body harness,” “pinch/prong collar,” “e-collar,” “choke chain.” Leash examples: “6-foot nylon leash,” “retractable leash.”)
If your dog ever becomes reactive toward other dogs or people on walks please describe here:
Please list all people, including yourself, who live in your household: (name, gender, age (of children) relationship to you)
If anyone in the home has food allergies or restrictions please specify the foods:
Who will be responsible for practicing training exercises with the dog?
Do any household members dislike or are frightened by the dog? If so, why?
Do you have other pets? If so please list them
(pet name, species, breed (if canine) age, sex, neutered? How do they get along?
Where is your dog kept when you are not at home?
Where does your dog sleep at night?
How many hours per day is your pet without human companionship? (not including nighttime sleep)
What training methods have you used? (examples: food treats, praise, play, verbal corrections, physical corrections, spray bottle, newspaper, electronic collar, alpha roll)
Please list the names of training organizations and dog trainers you've used:
Please list any procedures/training equipment you’ve used to try and correct behavioral issues:
What would you like help with, in order of importance?
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