Section 1 · 6 fields
Client and household
Know who is participating, who can make decisions and what daily life actually looks like.
- Primary client name, email, phone and preferred contact method
- Home address or service area, when relevant to delivery
- Other adults, children and regular visitors in the household
- Who handles the dog and who will attend training
- Other animals in the home and their usual interactions
- Accessibility, language or communication needs
Section 2 · 6 fields
Dog profile
Create one reliable identity for the dog before notes begin accumulating across messages and systems.
- Call name and registered name, if different
- Approximate birth date or age
- Breed or best-known mix
- Sex and spay or neuter status, if relevant
- How long the dog has lived with the household
- Where the dog came from and known prior-home context
Section 3 · 5 fields
Goals and success
Turn a broad request such as “better behavior” into observable priorities the trainer can review.
- The three changes the client most wants help with
- Where and when each concern usually occurs
- What a successful outcome would look like in daily life
- Important dates, events or deadlines
- Activities the client wants to enjoy with the dog
Section 4 · 5 fields
Training history and current routine
Avoid repeating a failed plan without understanding what was tried, how consistently and in which context.
- Prior classes, private training or board-and-train programs
- Methods, cues and equipment currently in use
- What has helped, what has not and what the client stopped using
- Typical weekday and weekend routine
- Exercise, enrichment, rest and alone-time patterns
Section 5 · 6 fields
Reported behavior and safety context
Preserve the client report as a report, then let the professional decide what must be clarified or observed.
- Situations, people, animals or handling that concern the client
- What the client observes before, during and after the behavior
- Frequency, duration, distance and recovery time
- Any bite, snap, fight, escape or injury history, including approximate date and context
- Current management measures such as gates, crates, leashes or separation
- Immediate safety concern or upcoming unavoidable exposure
Section 6 · 6 fields
Health and care context
Surface information that may affect participation while keeping veterinary decisions with veterinary professionals.
- Veterinary practice and emergency contact information
- Known diagnoses, pain, mobility, sensory or dietary considerations reported by the client
- Current medication and prescribing instructions relevant to service
- Allergies or adverse reactions reported by the client
- Vaccination or facility-document requirements
- Recent health or behavior change that may warrant veterinary follow-up
Section 7 · 5 fields
Service fit and logistics
Confirm that the requested format, timing and participation expectations match what the business can deliver.
- Preferred service format, location and availability
- Travel, parking, access or facility considerations
- Budget or program range the client is prepared to consider
- People who must approve scheduling or purchase
- Referral source and what led the client to inquire now
Section 8 · 5 fields
Acknowledgment and next step
Make submission, professional review and any later agreement distinct events rather than treating an inquiry as consent.
- Confirmation that the information is complete to the client’s knowledge
- Permission to contact the named veterinary or referring professional, if needed and separately authorized
- Optional media permission kept separate from service documentation
- Client questions or information not covered above
- Submission date and person completing the form