Canadian canine training academy

“ Acquiring a dog may be the only opportunity a human ever has to choose a relative. ”

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Professional Dog Trainer Course

CKC Canine Good Neighbour Test

Statistics For Today

No of dogs trained : 3576
No of dogs in North America : 101,345,78
No of dogs born per minute : 25

First Name :

Last Name :

Evening Phone :

Eg. (xxx-xxx-xxxx ext. xxxx)

Daytime Phone :

Eg. (xxx-xxx-xxxx ext. xxxx)

Cell Phone :

Email Address :

Home Address :

City :

State/Province :

Country :

Zip/Postal Code :

How did you hear about Canadian Canine?

	Search Engine		Website
	Yellow pages		Former student recommendation
	Newspaper Ad		Vet
	Pet Store		Friend
	Another Trainer		Breeder
	Other

Dog's Name

Breed

Dog's Age

Dog's Birthday

Please indicate the Specific problems you would like to change in your dogs behaviour.

	Aggressive		Aggressive with other dogs
	Aggressive with people		Barking
	Barking at people on leash		Barking when left alone
	Begging		Biting
	Bolting		Car sick
	Catch me game		Chasing bikes
	Chasing cars		Chasing cats
	Chasing feet		Chasing joggers
	Chewing		Chewing on leash
	Chronic Diarrhea		Crying when left alone
	Depressed		Destructive behavior
	Destructive chewing		Digging
	Digging through wall		Does not listen
	Dominant behaviour		Dominant with other dogs
	Easily Distracted		Eating stool
	Escape Artist		Excessive barking
	Excitement Piddling		Fearful
	Fearful of strange objects		Fence Running
	Finicky eater		Gets into garbage
	Gets into kitty litter		Gets on furniture
	Grooming problem		Growling
	Handy-shy		High prey drive
	House breaking		House soiling
	Howls when left in crate		Hyperactive
	Jealous		Jumping up on people
	Killed a cat		Licking
	Lunges		Marking indoors
	Marking people		Mounting
	Mouthing		Nervous
	Nipping		No focus
	No problems		Not good with children
	Pawing		Peeing on toilet
	Possessiveness		Predatory problems
	Protest aggression		Pulling on leash
	Pursuit problems		Runs away
	Runs out of car		Runs out of door
	Separation anxiety		Shy
	Snapping		Snarling
	Sniffing		Stealing
	Stealing food		Stool eating
	Stressed		Strong willed
	Stubborn		Submissive urination
	Territorial aggression		Up on furniture
	Urinating in kennel		Urinating when excited
	Very excited around dogs		Very excited around people
	Whining		Will not come
	Will not listen		Other

Briefly explain how you feel about your situation with your dog and what you hope to achieve with the training. The more honest you are the better we can help.

How do you correct your dog?

	Alpha roll		Clap hands
	Distract with toys		Electric collar
	Grab scruff		Growl at dog
	Haltie		Hit under chin
	Hit with pillow		Hold nose
	Leash correction		Make dog sit
	Physically		Pick dog up and cradle
	Pinch collar		Promise collar
	Rolled newspaper		Shake can
	Shake down		Slap on bum
	Slap on nose		Slap on shoulder
	Slip collar		Spray with water
	Verbal		Verbal reassurance
	Water gun		Yelling

How does your dog respond to your correction?

	Barks		Cowelling
	Cowering		Fair
	Good		Growls
	Jumping		Lies down
	Makes it worse		No response
	Plays with toys		Poor
	Protests		Retaliates aggressively
	Runs away		Snapping
	Sometimes listens		Stops and then continues
	Stops immediately		Stops usually
	Submissive urination		Varies
	Whimpers

How old was your dog when you got him/her?

Where did you get your dog?

How did you house train your dog?

	Crate		Dog lives outside
	Done		In progress
	Limited confinement		Litter box
	Newspaper		Nose rub
	Paper training		Pee Pad
	Sandbox		Taken out often
	Tied to bed

Housebreaking Results

Where does your dog sleep?

	Back hall		Basement
	Bathroom		Bed with child
	Bed with owner		Bedroom floor
	Box		By front door
	Chair		Confined
	Couch		Crate
	Dining room		Dog House
	Dogâ€™s own bed		Downstairs
	Family room		Floor
	Garage		Hallway
	Kitchen		Landing
	Laundry room		Living room
	Mud room		Outside
	Pen		Pillow
	Porch		Spare bedroom
	Stable		Under bed
	Wherever he/she wants		Others

Do you trust your dog to be loose in your house when nobody is home?

YesNo

How often is the dog exercised outdoors?

For how long is the dog exercised on these outings?

Are your dogs vaccinations up to date?

Medical Problems

Yes No

Current Medications

Yes No

Do You Have Pet Insurance

Yes No

If Yes Name Of Company

Diet- Brand Of Food

Diet - Table Scraps

Yes NoSometimes

Diet – Favorite Snack

Family - # of Adults

Family - # of Children

Family - Ages of Children

How Often Left Alone

Type of Residence

Other Pets in Household

How often is the dog taken out taken out of Home Environment?

	Visits to the dog park		Walks
	Car rides		Occasionally
	Quite often		Weekly
	Others		Never
	Daily		Not Often
	Not Often yet-until shots up to date

Most Popular Products

Puppy Kindergarten
Basic Obedience
Advanced Obedience

What Clients Are Saying

I have really enjoyed the classes with you. You are a great teacher and I want to thank you for helping me transform Winston into a happy follower and a fun member of the family.
Lise and Winston
Ottawa