Training & Behaviour Intake Form

Training & Behaviour Intake

Tell me about you and your dog

This helps me understand your starting point and prepare useful, safe training from the outset. Most people finish in about 8–10 minutes.

Your answers are private and used only to assess and deliver your training service.

Your details

So I can contact you about your intake.

Your full name * Mobile number * Email address *

Your dog

Dog's name * Date of birth (approximate is okay) * Breed or mix (best guess is fine) *

Sex * Male Female

Desexed * Yes No Planned or booked Unsure

How long have you had your dog? *

Training goals

Which program are you enrolling in? * Life Skills Group ProgramPractical everyday skills in a small group. Reactivity SupportIndividual support for barking, lunging, freezing or overwhelm.

What would you most like help with? * When do these behaviours usually occur? *

Daily life and environment

What does a typical day look like for your dog? Include time alone, other animals and household members. * What physical and mental exercise does your dog typically get? *

Where does your dog spend most of their time? * Indoors Outdoors Both

Training history

Has your dog done any previous training or classes? * Yes No

If yes, what kind? What has worked well for your dog so far? * What hasn’t worked well for your dog so far? *

Rewards and health

How food-motivated is your dog in new or distracting environments? * Very motivated Sometimes interested Rarely interested Unsure

What rewards does your dog respond best to? * Any injuries or medical conditions? Enter “None” if there are none. * Is your dog currently taking any medication or supplements? Enter “No” if not. *

Safety and final details

Has your dog ever bitten, attempted to bite, snapped at or injured a person or another animal? If yes, provide details. Enter “No” if none. * Emergency contact: name and phone number * Most recent vaccination certificate (optional, PDF, JPG or PNG; maximum 8 MB)

Safety and information acknowledgement

I confirm that the information provided is complete and accurate to the best of my knowledge. I will tell The Operant Dog about relevant changes to my dog’s health or behaviour. I understand that dog training involves inherent risks and agree to follow reasonable safety instructions during sessions.

I have read and accept this acknowledgement. *

Photo and video consent (optional)

Choosing No will not affect your service.

Yes, The Operant Dog may use photos or video of me and my dog for education and marketing. No.

By submitting, you agree that The Operant Dog may collect and use this information to assess suitability and deliver training services. See the Privacy Policy.

Intake received

Thanks. I’ve got what I need.

I’ll review your answers and contact you about the next step.

Your reference:

Return to The Operant Dog