Developing the Confident Dog Online Questionnaire

You are aware that this is a ‘remote” learning class? We will not be meeting in person but instead we will work together via weekly lectures and specific at home assignments that we will have an opportunity to review and comment in a weekly private FB group.

    Your Name

    Your Email

    Name of Class

    Address

    City, State Zip

    Primary Phone Number

    Alternate Phone Number

    Dog's Name

    Breed

    Age

    Gender

    What attracted you to this class/topic?

    What are some specific goals that you would like to achieve as a result of taking this class?

    What concerns do you have currently about your dog’s behavior?

    Have you tried anything in order to help your dog out?

    If so, what where the results?

    Tell me a bit about your routine with your dog. Where does he sleep? What does he eat (dry, raw etc.).How many times a day? Do you leave food out for him to graze during the day? How much and what kind of physical exercised those he get during the week/ week end?

    Does your dog play with toys/balls?

    What do you like most about your dog?

    What do you like least about your dog?

    Waiver, Payment, and Cancellation Policy

    I have read, understand and accept the terms of the Class Waiver, Payment, and Cancellation Policy.

    Accept

    Date of Class Waiver, Payment, and Cancellation policy acceptance: