Calm Dog Blueprint
The Program
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Your Calm Dog Success Story
It starts right here
This intake is a precursor to the details that will be gathered once we begin working together.
STEP 1: Let's start with you
First Name
*
Last Name
*
Dog's Name
*
Phone
*
Email
*
Address
*
City
*
State or Province
*
Country
*
Country
STEP 2: Introduce us to your dog
Breed of dog
What is your dog's sex?
Female (spayed)
Female (not spayed)
Male (neutered)
Male (not neutered)
What is their birthdate?
Dog's Age Today
From where did you obtain your dog?
Name of breeder or rescue
The name and phone number of your current veterinarian
Dog's Weight
Was this training deemed mandatory by the rescue organization?
Yes
No
What is your primary goal for participating in this program?
STEP 3: Let's dig a little deeper
The details you provide here will help us begin assessing your dog's needs and allow us to make specific learning recommendations for your situation.
How old was your dog when you brought them home?
What type of food (including brand name) does your dog eat? Please include frequency of meals, and how long it takes for your dog to empty their dish.
What was the date of your dog's last medical checkup?
*
Does your dog have any allergies or sensitivities?
Does your dog have any past/present health concerns?
Please provide a list of any medications your dog is taking currently, or has taken in the last 2 years
Can your dog comfortably be left home alone?
*
What is the longest length of time your dog gets left at home alone (no humans in house) during the day?
What style of home do you live in? (For example: apartment, condominium, townhome, semi-detached, detached, etc.)
Are there additional humans or animals that share the home with your dog?
Do you have other caregivers for your dog? Include past or present dog walkers, daycares, neighbours, family, etc.
Please tell us which human(s) do a majority of your dog's walks
How many times a day do you take your dog off the property, and how long is their longest walk?
What type of walking gear does your dog wear?
Would you consider your dog to be good sleeper? For example: does your dog take naps easily, do they sleep through the night, are they easily startled while resting?
Do any of the following cause your dog to become upset or excited? Please select all that apply (more details will be gathered during next stages of our work together)
*
People arriving at your door
Seeing people on walks
Seeing people outside your windows or fences
Seeing dogs on walks
Seeing dogs outside your windows or fences
Seeing wildlife on walks
Seeing wildlife outside your windows or fences
Hearing certain sounds while indoors
Hearing certain sounds while outside
Bicycles, skateboards, scooters
Cars, trucks, motorcycles
Shadows, lights, reflections
Does your dog become upset or excited by anything not mentioned above?
How many times per week do you observe these reactions from your dog?
Have you participated in training with this dog in the past? Please provide us with some details, such as the trainer/school name, year of attendance, training method used, and if this training was successful for you.
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