TTouch at AMMEC Dog Intake Form

Your Name

First Name

Last Name

Your email

Dog's name

Age

Breed

Dog's sex and neutered/spayed/intact?

Neutered

Spayed

Intact

Vaccination info

Your dog MUST be up to date on rabies vaccine to be able to attend

Up to date on rabies vaccine

Current on all vaccines

No vaccines

When did you get your dog, and how long have they lived with you?

Please include dog's age when brought into your home

Who else is in the home?

Family members, other animals

What do you feed your dog?

Eg kibble, home cooked, raw

Does your dog have any allergies/food sensitivities?

If yes, please list

What do you do with your dog, and for how long?

Eg agility, competitions, hunting, scentwork, family companion, therapy dog etc

What type of regular exercise does your dog get?

Eg daily leash walks, off-leash activities, running around the backyard, etc

How would you describe your dog's personality?

Eg friendly, nervous, loves to please, distant, reactive to dogs, reactive to strangers, etc

What do you love most about your dog?

What behaviour does your dog exhibit that you wish was different?

Eg fearfulness, lack of focus, barking, lunging, pulling, reactivity etc

How confident are you at handling your dog?

Is your dog okay with being handled by other people?

Please also describe how s/he reacts to unfamiliar people

How does your dog usually react when encountering unfamiliar dogs?

Dog's health information

Eg aging, car sickness, hip dysplasia, surgeries, arthritis (include where), recurring injury, medications, etc

What are your goals for bringing your dog to this workshop?

And, finally, anything else you would like to tell us about your dog?