Name
*
First Name
Last Name
Email
*
Phone
*
(###)
###
####
What goals do you have for your dog with our help?
*
What is your ideal amount of time available for at home exercises?
*
Are there any limitations to working with your dog that you would like to share?
*
Has your dog ever had a rehabilitative, weight loss, or fitness program elsewhere? Please describe if so.
*
Does your dog have any known allergies?
*
What diet and what volume of food is your dog given daily? Include snacks.
*
Is your dog on supplements or medications? Please list all, as well as the dosages given daily.
*
Has your dog had any prior surgeries or injuries? Please list.
*
List any current medical conditions that your dog has.
*
Are there helpful commands your dog knows and responds to easily?
*
What daily exercise, if any, does your dog participate in? Please list, and include time, distance, and level of activities. Please include any sports your dog is involved in also.
*
What activities does your dog avoid? Are there activities your dog cannot do, or has not tried? Does your dog have a fear of water?
*
Describe your dog’s home environment. For example, size of yard, yard access, number of stairs used daily, crated time, bedding, etc.
*
Does your dog have a bite history or known aggression?
*
What are your dog’s normal eliminatory habits?
*
Is your dog walked with a leash and collar or harness?
*
