dreamlike4paws

Science & Reward Based Dog Training

Home
Services
About Sandra
More
More

Use tab to navigate through the menu items.

Behavior Modification
Intake Form

Please complete the form below with as much detail as possible to help me understand your Behavior Change goals and current situation.

For Behavior Modification inquiries, please also fill in my Dog Training Intake Form.

⚠️ Note: This form does not autosave. Please wait for the confirmation pop-up after submitting to ensure your form has been received successfully.

Thank you!

(this form has 5 sections)

Please also fill in the Dog Training Intake Form

https://www.dreamlike4paws.com/dog-training-intake-form

Basic Dog Pawrent Information

First name*

Last name*

Email*

Phone*

Behavioral History & Problem Behaviors

I understand these questions may seem numerous and occasionally repetitive. However, I encourage you to provide as much detail as possible, even if some information seems irrelevant now. The more thorough your answers, the better I can understand your dog’s behavior and assist you effectively!

Thank you!

What are the 3 main issues you experience with your pet in order of priority with Answer 1 being the main issue.

Answer 1 (main issue)*

Answer 2*

Answer 3*

What is the problem that has made you contact me?*

How would you describe the severity of the problem?*

Mild

Moderate

Severe

How would you describe the frequency of the problem?

Rare

Often

Frequent

Other

Any noticeable change in severity?*

Yes

Any noticeable change in frequency?*

Yes

Have you considered euthanasia/rehoming your dog for this behavior?*

Yes

When did the problem begin?*

How old was your dog when the problem began?*

Please subjectively rate your perception of the main behavior problem*

How does your dog generally behave at home?*

Is your dog happy to be left alone?*

Yes

How does your dog react to being handled by strangers. (Please consider vet visits, groomers, pet sitters, etc.)?*

Describe your dog’s behavior around food (e.g., resource guarding, food aggression, etc.)?*

Does your dog display any territorial behaviors (e.g., guarding the house, yard, or family members)?*

How does your dog react to being left alone in different environments (e.g., home, car)?*

Describe your dog’s play style and interaction with other dogs (e.g., rough play, gentle, avoids play). Separate by known and unknown dogs if needed. *