EmailMe Form - Michael's Dogs

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country

Phone

### - ### - ####

Email

About Your Dog

Dog's Name

Breed or Breed Mix

Sex of Dog

Male

Female

Spayed / Neutered?

Yes

No

Your dog's current age

Your dog's age when you got him / her

Where did you get your dog?

Your Dog's Behavior

Has your dog ever bitten a person?

Yes

No

Briefly describe the most recent incident in which your dog bit a person.

How many times has your dog bitten a person?

What has been the resulting injury?

Has your dog ever bitten another dog?

Yes

No

Describe any other behavior that you'd like to help your dog change

Your Dog's Everyday Life

How many people live with your dog?

Ages of children who live with your dog

Do children under the age of 16 ever visit your home?

Yes

No

List other animals who live in your home

Species - Age - Name
Example: Cat - 9 years old - Charlie

Does your dog regularly and successfully play with other dogs?

Yes

No

How much time does your dog spend alone (without human beings) per day?

with people all day

alone 1-3 hours

alone 3-6 hours

alone 6+ hours per day

Where does your dog spend time when left alone?

Does your dog use a doggie door for free access outside?

Yes

No

What do you feed your dog?

If dog food please include the specific brand

How do you feed?

food is always available in a bowl

bowl-fed at set feeding times

What are your dog's favorite toys?

Briefly describe a typical day in your dog's life. Include routines and daily exercise if any.

Health Information

Which veterinary clinic / hospital do you use?

Is your dog currently being treated for a medical condition of any kind?

Other than heartworm and flea prevention, does your dog take medication regularly?

Does your dog take any medication specifically related to behavior?

Does your dog have any condition that may cause frequent or chronic pain?

Training History

Have you taken a group class with your dog?

Yes

No

If Yes, where?

Have you had prior behavior coaching?

Yes

No

If Yes, with whom?

How do you respond when your dog does something right?

How do you respond when your dog does something wrong?

Which training tools do you use, if any?

Just a couple more questions

How did you hear about Michael's Dogs /Michael Baugh?

How did you access this questionnaire?

Web page (this is my first contact with Michael's Dogs).

Link was sent to me via email