Please Complete Your Intake Form

If You've Had a Discovery Call Already - You Do Not Need to Complete this Form Again.

PRIMARY INFORMATION

First Name *

Last Name *

Phone *

I agree to terms & conditions provided by All Ears Dog Training & Behavior. By providing my phone number, I agree to receive text messages from this business.

Email *

Address *

Name of dog for whom you seek training *

Dog's Age *

Dog's Sex: *

Spayed/Neutered/Intact *

Approximate Weight *

How long have you had your dog? *

Where did you acquire your dog (breeder, rescue, shelter, etc.)? *

Please describe your training goals (these can be small or large) *

Has your dog had any prior training? *

If so, please describe

YOUR HOUSE

Name and ages of all humans living in house

Other animals in house

Name(s)

Age of animals

Sex of this animals

Species

Breed (if known)

Are they Spayed, Intact or Intact?

Approximate weight of all pets

PRIMARY VET INFORMATION

Name of facility/Veterinarian

Vet's Phone Number

SEPARATION ANXIETY

You may leave this blank if not applicable to your service

Have you done any precious training to address your dog's Separation Anxiety?

On average, how many hours per day is your dog being left alone at home?

Have you ever discussed your dog's Separation Anxiety with your veterinarian

Can you adjust your schedule so that your dog will not be left alone during training for a while?

How long would you like to be able to leave your dog home alone in the future?

Please let us know how you heard of us! *

Would you prefer a zoom call or a phone call? *