K9 Country Club Client Questionnaire

Please note that all fields followed by an asterisk must be filled in.
Low
Medium
High
Yes
No
Yes
No
Yes
No
Crate
Dog bed
Other
Provide play time with other dogs
Prevent dog from being home alone
Exercise
Recommended by a pet professional (trainer, veterinarian, etc.)
Other
Yes
No
Yes
No
Yes
No
Yes
No
None
No jumping
No running
No rough play
No contact with other dogs
Other
Yes
No
Dry kibble
Canned
Raw/natural
Yes
No
Grass
Mulch or bark
Gravel
Pee pads
Other
None - No knowledge of other dog interaction
Minimal - On leash encounters only
Moderate - Some off-leash playtime on occasion with familiar dogs
Extensive - Regular visits to dog social events, off-leash dog parks, dog daycare, etc.
Altercation or fight at a public dog park
Altercation or fight with a neighbor's or friend's dog
Fearful reaction to a group of dogs
Dismissed from a prior daycare or social playgroup program
Other
None
Sit
Stay
Down
Come
Heel
Roll over
Kisses
High five
Shake
Other
Attended one group class
Attended more than one level of group classes (beginner & intermediate, for example)
Dog was sent to a board and and train program
Private sessions with a professional in the home
Other
None
Key part of daily communication
Used when on walks or when other people are in the home
Used occasionally to better control behavior
Rarely used
Never used
Mouthing
House-training
Barking
Digging
Ignoring commands
None
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

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