Canine Training Form

"*" indicates required fields

Client Details

Client Name*

First Last

Address*

Street Address Address Line 2 City County Post Code

Email*

Phone*

Please list the names, ages and occupations of all members of the household:

Name

Age

Gender

Occupation

Relationship with dog in question

Patient Details

Dog Name*

Dog Breed*

Age (D.O.B)*

Gender*

Is the animal neutered?*

Entire

Neutered

Weight (kg)

Age obtained*

Date obtained*

Source (obtained from)*

Reason for obtaining*

Has he/she ever been used for breeding?*

How would you describe your dog's personality?*

Have you owned dogs previously?*

Have you owned other pets previously?*

Please list any current household pets

Name

Type/Breed

Age

Gender (neuter status)

Relationship with dog in question

Medical History

Please give a brief description of your dog's medical history*

Which vet practice is your dog registered with?*

Vaccination Status:*

Date of last worming:*

Is your dog on any regular medication?*

Has your dog ever been on medication for his/her behaviour? If so, please describe the drug, dose and date(s)

Early History

Please describe, if known, what your dog’s early environment was like, including; litter size, early experiences, dam and sire personalities, if reared indoors/outdoors, early interactions with people, etc.

What is your dog fed? How much, how often and where?*

Where does your dog sleep?*

What is your dog’s daily routine (including; sleeping, resting, playing, eating, exercising, home alone, etc)?*

How is your dog when left alone?*

What is your dog's usual reaction to visitors, strangers outside and other animals?*

What are your dog’s favourite things/things to do?*

Training

Is your dog house-trained? If so, how did you teach house-training?

Is your dog crate-trained? If so, how did you teach crate-training?

Have you attempted any training methods so far? If so, what methods have been used?

Did or does your dog attend any training or socialisation classes? If so, please describe

What training issues do you want to work on?

How well do you think your dog learns?

What outcome would you like to achieve from training?*

Does your dog display any unwanted behaviours? Please describe and mention if you recognise any triggers for the behaviour.*

Have there been previous attempts to rectify the situation? If so, what methods have been used?

Has any form of punishment been used?*

How does your dog’s behaviour make you feel?*

Realistically, how many hours do you feel you spend directly with your dog per week, for example, during play, training, exercising, relaxing together, quality time together?*

Have you considered rehoming your dog?*

Attach any additional information such as photos, videos, floorplans, etc.

Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 64 MB.

How did you hear about us at DVBP?*

If deemed necessary, our canine trainers may discuss your animal with our clinical animal behaviourists, in-house veterinary behaviourists and internal medicine specialist.*

I have read and understood

Do you give permission for Donovan Veterinary Behaviour Practice to use suitable photos and videos of your puppy in our printed and online publicity, and possibly to be used as examples in case studies for educational purposes?

Permission given

Do you agree to the Terms and Conditions?*

I have read and agree to the Terms and Conditions