Client Information - A Dog's Joy

Name

Date

Dog's Name

Date Started

Street Address

Apt #

State

City

Zip

Occupation

Email

Home Phone

Cell Phone

Breed

Color

Number of People In Household

Number of Children In Household(Please Include Ages and Genders)

Medical Conditions/Ailments or Dietary Issues

How did you hear about ADogsJoy?

Where did you Adopt/Purchase your dog?

Has your dog ever bitten a person or another dog? If yes please explain.

What behavioral issues would you like to focus on? Rate your dog's energy level? No energy No energy Low energy Some energy A lot of energy Tons of energy

How well does your dog know the command 'Sit.' Perfect Usually Ok Needs Work

How well does your dog know the command 'Stay.' Perfect Usually Ok Needs Work

How well does your dog know the command 'Down.' Perfect Usually Ok Needs Work

How well does your dog know the command 'Come.' Perfect Usually Ok Needs Work

Does your dog like children? Yes No

Does your dog jump on people? Yes No

Does your dog like people? Yes No

Does your dog leave it on command? Yes No

Does your dog nip when playing? Yes No

Does your dog pull on leash? Yes No

Does your dog like other dogs? Yes No

Does your dog play with other dogs? Yes No

Does your dog chew things he's not supposed to? Yes No

Is your dog housetrained? Yes No

Does your dog look at you when you say his name? Yes No

Please share any additional information that you feel would be helpful.

Please Fill Out Our Client Information Form