Please fill out the form, hit submit and you will be taken to a google calendar to schedule a free 15 min consultation. Name * First Name Last Name Email * Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Dog's Name, Birthday, Breed, and Sex Please add ALL dogs in the home How long have you had your dog(s) and where did they come from? Do you have other animals in the home? What kinds? How may I help? How many people live in your home? Are there children in your home? Please list ages of children. Do you have a fenced yard? What kinds of gear does your dog wear for walks? Examples: Harness, flat collar, head halter, choke chain, prong collar, e-collar, etc. If you are currently using a choke chain, prong collar or e-collar for your dog are you willing to learn about alternative training methods that do not include these devices? Yes No Maybe What are some things your dog does that you do not like? What are some things your dog does that you do like? Where does your dog sleep? What and when does your dog eat? How much time do your dog(s) spend alone each day? Where are your dog(s) when you are gone? How would you describe your dogs personality? What kinds of exercise or other enrichment does your dog(s) get? Where do you take your dog for walks? Has one or any of your dogs ever growled at, lunged at, or bitten a person or animal? If so please describe in as much detail as possible the scenario. Veterinary Clinic Name Has your dog had a vet check up in the last year Yes No Does your dog have any allergies? Is your dog on any medications? Is your dog neutered/spayed? Yes No Does your dog have any medical conditions? What previous experience do you have with dog training? Can photos or videos be taken of your dog to be posted on social media with a general description? Yes No Maybe, Always Ask First How did you hear about Deroga Dog Training? What is the most import thing that you would like to learn from dog training lessons? Is there any other important infomation about your pets/family you would like me to know? Thank you!