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Owner Information
First name
Last name
Pet Information
Pet 1 Name
Pet 1 Birthdate
Pet 1 Breed
Pet 1 Sex
Choose an option
Pet 1 Medical / Dietary Needs
Skill Level
*
No Training
Basic Training
Intermediate Training
Advanced Training
Tools You've Used
*
Required
Leash
Flat Collar
Harness
Head Halti
Martaingale / Limited Slip
Slip Leash / Collar
Choke Chain
Metal Prong Collar
Plastic Prong Collar
E-Collar
When My Pet Is Stressed They:
*
Required
My pet is never stressed/fearful
Whine
Show Teeth/Snarl
Growl
Nips
Might Bite
Will BIte / Has Bitten
Bark
Lunge
Move Away
Bolt / Flee
Cower / Freeze
Tremble
Drool
Become Distructive
My Pet Can Be:
*
Required
My Pet is not reactive or fearful
Only Reactive on Leash
Aggressive (bite history)
Protective of Me
Protective of the Home
Reactive/fearful of Men
Reactive/fearful of Women
Reactive/fearful of Children
Reactive/fearful with Strangers
Reactive/fearful of Dogs
Reactive/fearful of Cats
Reactive/fearful of Animals
Afraid of Loud Noises
Afraid of Sudden Movements
Afraid of Car Rides
Afraid of Traffic
Food Aggressive/Protective
Toy Agressive/Protective
Other Behaviours, Habits or Triggers?
Emergency Information
Emergency Contact Name
Emergency Contact Email
Relationship
Emergency Contact Phone
Current Vet Office
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