Prospective Client Questionnaire

Let me know a little more about you and your dog.
If your dog is suffering from separation anxiety and you would like us to consider working with you, please take the time to fill out the following questionnaire. Filling out this questionnaire does not guarantee that we will be able to accept you as a client. We look forward to assessing your case and seeing if we can assist you! Thank you.
Client(s) Name(Required)
Sex of Dog(Required)
Where was dog acquired?(Required)

Can you adjust your schedule so that your dog will not have to be left alone during training for a while?(Required)
Please keep in mind, dog is not considered alone when accompanied by someone, in or outside of your home, in an environment where they are comfortable.
Have you done any previous training to address your dog's separation anxiety?(Required)
Have you discussed your dog's separation anxiety with your veterinarian?(Required)
Please let us know how you heard of us.(Required)

I understand that email replies, registration and payment confirmations may go to my Spam/Junk folder.(Required)
Upon submitting this form you will be directed to another page where you will need to enter your information in order to receive a response from us.(Required)
Please click on Submit Query when you have finished with the form. We appreciate your time and will get back to you as soon as we can! (Hang in there!!!)
This field is for validation purposes and should be left unchanged.
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