Puppy Consult Questionnaire Puppy Owner Information * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * Please list the names of all other humans who live in your home. If children reside with you, please also include their ages. How did you hear about Shake It Off Dog Training? Congratulations on your new puppy! What goals do you wish to accomplish through training? * (For example: safe socialization, foundation skills of puppies, potty training, confidence building) Puppy Information Puppy's Name * My puppy is a * Female Male Puppy's Birthdate (or estimated age) * Puppy's Breed (if known) * Puppy's Weight * Where did you get your puppy? If applicable, please include the name of the breeder, shelter or rescue. * How old was your puppy when you got it? * Please list all other pets in your home, including their NAME, SPECIES, AGE, SEX, and whether they are SPAYED/NEUTERED. Describe your Puppy's daily routine. * What kind of food are you currently feeding your dog for meals? Veterinary Information Which veterinarian or veterinary clinic do you use? * Veterinarian's Phone Number * (###) ### #### How many Distemper/Parvovirus vaccines shots has your puppy received? These shots have different names depending on your vet, and may be listed as DHPP, DA2PP, DHLPP, or DALPP. * Please note any medical conditions and current medications (including preventatives like flea, tick or heartworm meds). Is your puppy spayed/neutered? * Yes No If yes, at what age was your puppy spayed/neutered? Potty training Is your puppy completely potty trained? * Yes! (at least 2 weeks with no accidents) Almost. (1-2 accidents per week) No, we are just starting. What potty training measures have you taken so far? Do you use an exercise pen or a crate for your puppy? * Socialization How many NEW PUPPIES does your puppy meet each week? * Is your puppy enrolled in a puppy socialization group? If yes, where? * How many NEW PEOPLE does your puppy meet each week? * How many NEW PLACES does your puppy visit each week? Does your puppy ride well in the car? * If your puppy already has some trained skills, please list those here. (e.g. name recognition, hand target, sit, wearing a collar or harness, sit, shake) What are you excited to do with your puppy? How do you envision life with your puppy? Thank you! Thank you!
