We pledge to do
OUR BEST to help you with your dog problems!!
Kyleewood Dog Training
And Behavior Modification
• Youngstown, Ohio
behavior modification form
This
page (the send part of the form.) is
temporarily not working. If you would like to send
this information to me simply answer the questions
and number them. Email them to kyleewooddogtraining@yahoo.com
Thank you.
To
help us understand and address your specific dog
problem, please fill out the following information.
Be as specific as you can. I will contact you by
email or phone number if included as soon as possible.
Name:
Address:
City:
State:
Zip:
Email:
Date:
Number of adults living in the household?
Number and ages of children living in the household? (e.g. 2 (12, 14))
Name, breed and age of dog you are seeking advice and help for?
Does the dog live in the home or outside?
Please list the number, age, sex and breed of all dogs living in your household if more than the single dog you're inquiring about:
How old was the dog when you brought it home to live with your family?
Did you get the dog from a private breeder, shelter, kennel or other? If other, please specify:
How Long have you had the dog or puppy?
Is the dog a female or a male? Female Male
When was the dog's last veterinary checkup?
Is the dog spayed or neutered? Yes No
Who is the main caretaker of the dog in the home?
Do all adults in the household work full-time? Is someone home with the dog most of the time? Please specify:
Has the dog had any obedience training? Yes No
If the above answer was yes, please specify the kind of training:
Do you currently use a choke-type training collar on your dog? Yes No
How many training courses has your dog completed?
If you live in a residence, is the yard fenced in? If so, list the type of fence used. (including radio fence type)
Has the dog bitten anyone in it's immediate family? If so, please specify:
Has the dog bitten anyone other than family members? If so, please give a short explanation:
Do you have a crate or carrier for your dog? If so, how often and when is it used?
Please give an explanation of the problem behavior you are experiencing with your dog, and what you would like to change. Be as specific as possible. Feel free to add additional lines or email if more space is required. Please limit this to one behavior problem. This is the first of three sessions given per behavior problem.
