Around the Flock – Companion Animal Training
Speaking Engagements
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Puppy Behaviour Wellness Program
Parrot Behaviour Wellness Program
Baby-on-the-Way Dog Readiness Program
Help my pet
Canine Assessment Form
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Thank you for your response. ✨
First & last name
Email
Phone number
Address
Dogs name
Age
Breed
Sex
Male Intact
Female Intact
Male Neutered
Female Spayed
When and at what age did you acquire your dog?
Where did you get your dog?
What other pets live with your dog?
What other humans live with your dog? Please list names and ages.
Current veterinarian
Last veterinary exam (YYYY-MM-DD)
Do you consent that I contact your veterinarian for medical records?
Yes
No
Medical concerns
Current medications & supplements
Food sensitivities
Has your dog done previous training?
Yes
No
If yes to the question above, what methods were used?
Positive Reinforcement
Aversives (yelling, prong collar, shock collar, spray bottles etc.)
Balanced
Behavioural concerns
What do you feel is the function of the behaviour(s) mentioned above?
What have you tried so far?
Did it make the behaviour better or worse?
Has your dog ever shown aggressive behaviour? If yes describe the events.
How long is your dog home alone for?
Does your dog exhibit any behaviour problems when you leave him/her alone?
Does your dog show any signs of distress during loud events such as fireworks, thunderstorms, trucks, shouting?
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