STUDENT PROFILE FORM

The purpose of this profile is to give us as much information about your canine companion as possible so that we can address better any problems/or concerns that are specific to your companion. If you are uncomfortable answering any of the questions, leave them blank. Our intention is not to "pry" but to best identify all the areas we need to address with you and your companion.

Your Name_

Dog’s Breed Type

Dog’s Name Age

Has your dog been spayed/neutered?    Yes No When

Dog’s Sex FM

Vet’s Name

Does your dog have any physical/medical problems?Yes No

If yes, what ?

List Number of other adults, children, and pets in family

Dog was acquired from: Pet Shop Shelter Breeder Other

Age dog was acquired How long have you had the dog

Have you attended Obedience Classes before? What type

What did you like most about the classes

What do you want to accomplish in this class?

1)

2)

3)

Approximate time you spend with your dog is:

Inside % Outside % Without Humans % Tied%

About how many minutes a day do you:

Walk your dog on a leash minutes Play with your dogminutes

If you had previous dogs – What did you like best about them?

What did you like least about them?

What do you like best about THIS dog?

What concerns you most about your relationship with your dog?

 

What is your dog’s regular food?

What times are your dog’s meals?

Check anything that applies to your dog:

GROWLS SHY        FEARFUL GUARDS FOOD/TOYS

PUSHY    BITES     DESTRUCTIVE WON’T LISTEN TO ME

EXCESSIVE ENERGY    DOMINATE AGGRESSVE NOISY

TOO ATTACHED TO ME MOUTHY NOT GOOD W/ PEOPLE NOT GOOD WITH DOGS

OTHER OTHER

BRIEFLY EXPLAIN ANYTHING THAT YOU HAVE CHECKED ABOVE :