Date of Birth Sex
Health Cert Y/N:
Conditioning Requested Check one or more
Fitness & Goals
What kind of exercises do your perform with your dog?
Do you walk, run, or bike, with your dog? What distance?
What frequency? be honest
Is your dog Leash, or Harness trained?
Do you use any training equipment treadmill, jumps, ramps,
What does your dog participate in, Agility, Obedience, Conformation, Weight pull, Rescue, Flyball, Hunting, Herding?
Has your dog been formally trained?
What are your goals for this dog?
What are your dog’s strengths and weaknesses?
Has this dog ever been injured? if so when
What was the treatment?
Does your dog have any medical conditions now?
Does your dog sleep, or rest in a crate?
What time frame does your dog remain in crate?
How does your dog respond to strangers and new environments?
Has your dog ever bitten anyone?
Do you have an upcoming event that you’re training for? And When?
Is there anything else that we may need to know about your dog?