Private Session Intake Form

Please fill out the following form to the best of your knowledge (Allow 15 to 20 minutes). Submitting the form at least 24 hours before your first session allows the trainer time to review it.

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Owner’s Name

Phone

Can be used for texting?(required)

Yes

Alternate/additional telephone

Address

City

State

Zip Code

Any directions/details needed (route information, parking areas, etc.)?

How did you hear about Bravo Dog Training? If someone referred you, please list their name.

Dog’s Name:

Breed:

Age:

Gender(required)

Male – Neutered

Male – Intact

Female – Spayed

Female – Intact

How long have you had this dog?

Additional dogs to be included in training (please list name, breed, age and gender including if they are spayed/neutered):

Additional members of the household (please include adults, children plus ages, and other pets):

Who is your regular veterinarian?

In what town?

Does your dog see any specialists? If so, who and why?

When was your dog’s last exam? (Month/Year is okay)

Is your dog current on vaccines?

Yes

Some vaccines

Does your dog have any medical issues? If so, please describe:

Is your dog taking any medications currently (include heartworm and flea/tick preventative and any supplements):

What food does your dog eat? Include brand and protein source (e.g. chicken, lamb, fish, etc.)

How many times a day does your dog eat?

One

Two

Three

Free Fed (food always available)

How does your dog eat their food?

Voracious – gulps everything down immediately

Slow but steady – finishes all food in one sitting

Optional eater – may or may not finish their food

Picky eater – have to supplement/bribe them to eat

How do you feed your dog? Select all that apply:

What kind of exercise does your dog get (leash walks, hiking, playing fetch, dog park, etc.)? List all activities and how frequently you do them.

Do you feel your dog gets enough exercise?

Yes

Sometimes

What kind of toys do you have for your dog? How many?

Is your dog crate trained?

Yes

Somewhat

Where does your dog stay while you are gone?

Where does your dog sleep at night?

Do you have a fenced yard?

Yes

Yes but the dog can escape it

Have your trained other dogs previously?

Yes

What methods have you used (check all that apply):

Positive reinforcement (rewarding good behavior) Clicker/marker training "Balanced" training Dominance methods (alpha rolls; showing who is boss; etc.) Corrections for wrong behavior

Have you done training with this dog previously? If yes, please list the trainer, what you covered and what you liked and/or didn’t like. Also indicate how many sessions/classes you did.

What are your main concerns with your dog that caused you to seek help? If the training is preventative, what would you like to address?

Please describe any incidents that have happened as a result of these issues:

Have you talked with your veterinarian about these concerns?

Yes

Have you ever considered finding your dog a new home (or other options) because of these behavior problems?

If your session is for preventative training (new puppy, etc.) what would you like to make sure the puppy/dog learns (e.g. to walk nicely on leash, be social with strangers, plays well with other dogs, stays of the furniture, etc.)?

For those with existing problems, if you could turn your dog into the perfect family member, what would you change?

What is your favorite thing about your dog?

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