Prospective Client Questionnaire Name * First Name Last Name Email * Phone * City * State * Country * Dog's Name * Male or Female? * Male Female Breed or Mix Type * Age of Dog * Where was dog acquired? * Shelter Breeder Other How long has your dog been in your household? * <3 weeks <1 month <3 months 3-6 months 6-11 months 1-3 years 3-5 years 5-10 years 10+ years How many days a week is your dog being left alone currently? * None 1 day 2 days 3 days 4 days 5 days 6 days Every day If you have any additional comments regarding your dog's current alone time, please enter those here. Can you adjust your schedule so that your dog will not have to be left alone during training for a while? * Yes No Maybe Have you done any previous training to address your dog's separation anxiety? * Yes No Thank you!
