Questionnaire - Dog Training
  • First / Last Name*full name
    0
  • Email*a valid email address
    1
  • City*full name
    2
  • State*State
    3
  • Country*counry
    4
  • Phone*full name
    5
  • Your Pet's Information
    6
  • Name*
    7
  • Breed*
    8

  • Sex
    9
  • Sex*
    Male
    Female
    10

  • Spayed/ Neutered?
    11
  • Spayed/ Neutered?*
    Yes
    No
    12
  • Age*
    13
  • How long have you owned your pet?*
    14
  • Behavioral
    15

  • Pulls on the Leash
    16
  • Pulls on a Leash*
    Never
    Occasionally
    Often
    Almost Always
    Always
    17

  • Jumps on People
    18
  • Jumps on People*
    Never
    Occasionally
    Often
    Almost Always
    Always
    19

  • Jumps on Furniture
    20
  • Jumps on Furniture*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    21

  • Barks (when home alone)
    22
  • Barks (when home alone)*
    Never
    Occasionally
    Often
    Almost Always
    Always
    23

  • Barks at Appropriate Times, but Doesn't Stop
    24
  • Barks at Appropriate Times, but Doesn't Stop*
    Never
    Occasionally
    Often
    Almost Always
    Always
    25

  • Barks at Inappropriate Times, and Doesn't Stop on Command
    26
  • Barks at Inappropriate Times, and Doesn't Stop on Command*
    Never
    Occasionally
    Often
    Almost Always
    Always
    27

  • Aggressive Towards Other Dogs
    28
  • Aggressive Towards Other Dogs*
    Never
    Occasionally
    Often
    Almost Always
    Always
    29

  • Does Your Dog Chase Cats or Other Small Animals?
    30
  • Does Your Dog Chase Cats or Other Small Animals?*
    Never
    Occasionally
    Often
    Almost Always
    Always
    31

  • Aggressive Towards Cats or Other Small Animals
    32
  • Aggressive Towards Cats or Other Small Animals*
    Never
    Occasionally
    Often
    Almost Always
    Always
    33

  • Aggressive Towards Strangers
    34
  • Aggressive Towards Strangers*
    Never
    Occasionally
    Often
    Almost Always
    Always
    35
  • If So, Please Explain:*
    36

  • Aggressive Towards Guests
    37
  • Aggressive Towards Guests*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    38

  • Aggressive Towards Family Members
    39
  • Aggressive Towards Family Members*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    40

  • Chews Furniture (tables, chairs, rugs, etc.)
    41
  • Chews Furniture (tables, chairs, rugs, etc.)*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    42

  • Chews Objects (shoes, socks, magazines, etc.)
    43
  • <brChews Objects (shoes, socks, magazines, etc.)*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    44

  • Housebreaking Issues?
    45
  • Housebreaking Issues?*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    46

  • Separation Anxiety?
    47
  • Separation Anxiety?*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    48
  • Performance
    49

  • Heels (walks on left side with a slack leash, sits automatically)
    50
  • Heels*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    51

  • Heels (First Time Regardless of Environment)
    52
  • Heels (First Time Regardless of Environment)*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    53

  • Sits on Command (First Time Regardless of Environment)
    54
  • Food*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    55

  • Downs on Command (first time regardless of environment)
    56
  • Downs on Command (first)*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    57

  • Stays on Command (first time regardless of environment)
    58
  • Stays on Command (first time regardless of environment)*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    59

  • Comes on Command (first time regardless of environment)
    60
  • Comes on Command (first time regardless of environment)*you like
    Never
    Occasionally
    Often
    Almost Always
    Always
    61
  • Describe what changes you would like to see made to your pet’s behavior or performance.*something more
    62
  • Please describe any ways in which you think you may be contributing to your dog’s behavioral.*something more
    63
  • Please describe any other factors which may be contributing to your dog’s behavioral issues or performance.*something more
    64
  • Protection Training
    65

  • Are you interested in your dog being trained in protection?
    66
  • Yes No (if your answer is no then please proceed to the last section)*you like
    Yes
    No (if your answer is no then please proceed to the last section)
    67

  • If yes, has your dog received training prior to enrolling in our program?
    68
  • If yes, has your dog received training prior to enrolling in our training program?*you like
    Yes
    No
    69
  • If your dog has been trained elsewhere please provide us detail about their training history.*something more
    70
  • Training Program
    71

  • I am interested in my dog entering the following training program:
    72
  • I am interested in my dog entering the following training program:*you like
    Obedience Only
    Premier Protection Dog
    Premier Elite Protection Dog
    Advanced Family & Estate Dog
    73

  • Please share with us your time frame for enrollment.
    74
  • Please share with us your time frame for enrollment.*select your country
    75
  • Captchacopy the words
    76
  • 77