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Consultation form
Please fill out this questionnaire honestly and in full. The information provided will allow me to better understand the problems you are having with your dog and help you
Client details
*
Indicates required field
Name
*
First
Last
Email
*
Phone number
*
Dogs details
Dogs name
*
Dogs age
*
Dogs breed
*
Is the dog neutered?
*
Yes
No
How long have you owned the dog? (have you had it from a puppy or is it a rescue? if a rescue how old when you got it?)
*
Veterinary details.
I may need to speak to your vet about this I need your consent to do this. ( without consent I will not be able to help you. )
*
Yes
Name of your vet practice
*
Phone number of your vet
*
Has your dog seen a vet for this problem?
*
Yes
No
Address of your vet
*
Line 1
Line 2
City
State
Zip Code
Country
Details of the problem you require help with.
behaviour you need help with. (Please describe the behaviour, be as detailed as possible including dates of when it was first seen)
*
When did this behaviour start?
*
How old was the dog when the behaviour started?
*
Has the behaviour changed since it first started?
*
Further information.
How often do you walk your dog and where and how often do you walk it?
*
Who walks your dog?
*
You
Other family member
Dog walker
What does your dog eat? ( What brands of food please Include treats and brands.)
*
Have you attended any training classes? (please give details)
*
Does your dog have any health problems?
*
Allergic reactions
Heart problems
Muscle Skeletal problems
Respiratory problems
Sensory problems (blind/deaf)
skin problems
No health problems
Other (please mention this is the box provided)
Please provide more information about the health problems, include medications
*
Details of any blood screens your dog has had
*
Has your dog had a general anaesthetic? if yes when and what for
*
Anything else you wish to tell me that you think may be relevant
*
Submit
If you haven't already done so please book your consultation here.
Home
Services
Pre puppy chat
Private Puppy walk
Puppy training
>
4 week private puppy training
Puppy Scent work
Adolescent puppy training
>
Private Adolescent training course
Puppy & Adolescent socialisation walks
Rescue dog training
>
Private beginner dog training
Private training
Fun Gundog skills training
>
Private gundog skills
Contact
About
Clair
Amy
Liz
Asha
Blog
Links
Products
Frequently Asked Questions