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Canine and children workshops.
About
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Your Email
Your Full Name
Your Address & Eircode
Your Mobile
Dog's Name
Dog's Age
Is Your Dog Neutered
Yes
No
Other dogs in the home - include Name, Age, Breed, additional veterinary information, behaviour information, how long you have owned the animal and where they were from.
Where did you get your dog from?
Private registered Breeder
Unregistered Breeder
Internet
Family friend
Rescue / Charity
Other
What age was your dog when you got them? (0 if under 1)
Please detail any past or current medical issues including medication, dosage, prescription diet, food allergies including length of time on medication/prescription diet etc
How does your dog behave at the Vet or Groomers?
How does your dog behave in the car?
What motivatest your dog?
Food/Treats
Toys
Attention
Space
Play
Reassurance/Petting
Praise
Please detail previous training methods you have tried or previous trainers or classes used. Where appropriate, detail the name of the trainer.
How long has your dog displayed the behaviour you're seeking help with?
Did the behaviour change suddenly?
Yes
No
Not Sure
Has your dog ever displayed aggressive behaviour towards people. Tick all that apply.
Never / none
Growl
Show Teeth
Lunging towards people
Air snap
Muzzle punch (made contact with nose or front of teeth - no bite)
Snapping bite (contact made with clothes - no injury sustained)
Snapping bite (puncture to skin or scratch)
Multiple snapping bite (several punctures to skin)
Ragging bite (grabbed and tore skin - injuries sustained)
Grabbing bite (grabbed skin and held on exerting pressure)
Disfiguring bite (bite required extensive surgery)
Fatal bite (has caused fatality)
Please detail events surrounding the incident and make a note of the type of bite if a bite occurred (puncture, tear, grabbing, laceration, required hospitalization)
Has your dog ever displayed aggressive behaviour to other dogs
Yes
No
Please provide detail. If aggression is towards other animals, please detail here
How does your dog behave when guests come into your home?
Does your dog wear any of the following equipment? tick all that apply
Collar
Semi Check collar or martingale collar
Head halter
Slip leash
Flat leash
Chain lead
Harness
Choke chain
Bark collar
Electric collar
Vibration collar
Prong Collar
What are your end goals for your dogs behaviour and training?
Are you happy for us to take video or pictures of your dogs behaviour?
Yes - but only for private use (for the client only)
Yes - happy for this to be used as educational footage for social media and seminars
No
Do you or any family member require the information communicated to take into consideration hearing, sight, physical or motor disability, neurodivergence? If yes, please provide details.
Please provide any other detail you feel is important for us to know
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