Your Full Name *

Email *

Phone *

Postcode

If not listed here, please entre your postcode below

If your postcode is not on the list, you are outside of my included 30km travel area. Please enter your postcode below if you would still like your free 30-minute phone consult. $1.00 per km of travel outside of the 30kms is applicable if we do book you in. If you would prefer to find another exceptional trainer nearer to you, please check the Pet Professional Guild of Australia website ' www.ppgaustralia.net.au ' and check their trainers listing page.

Post code

About Your Dog

Please enter your dog's information below. Mandatory questions require an answer or best guess for rescues, then please answer anything else relating to what you require help with. If you need multiple dogs trained, please enter each dog separately. If you have multiple dogs but only need training for one, please use the other household pet in this dog's form to add the basics for your other pets. If you are registering a puppy and don't have all the information type nil or n/a for those fields.

Name *

Gender *

Date of Birth

Age/Year

Primary Breed

Where did you get your dog from? *

Why did you choose this breed or crossbreed or type of dog? *

Vaccines

If you have easy access to your dog's vaccination dates, please add these here. Otherwise, we can add them at a later date with you.

'C3' vaccine, Distemper Virus + Adenovirus + Parvovirus

C3 Date Given

C3 Date Expires

__________________________________________________

'C4' = 'C3' + Parainfluenza Virus (Kennel Cough)

C4 Date Given

C4 Date Expires

__________________________________________________

'C5' = 'C3' + Kennel Cough (Parainfluenza and Bordetella bronchiseptica)

C5 Date Given

C5 Date Expires

Household Details

How old was your dog when it came to be part of your family? *

How does your dog get along with each family member?

Regular Visitors that your dog interacts with, e.g friends and family, employees, carers, etc

Also, please describe any specific difficulties these visitors may have with your dog.

Please describe all your pets

Who will be responsible for training? *

Training Requirements:

How were you refered to Lisa? *

What type of training do you need help with? *

Puppy Training: up to 6 mths old

General Obedience: just better behaved in general

Behaviour Issue: Fearful/Aggressive/Can't be alone

Section A: Health

Does your dog have any medical conditions? *

Yes

When was the last time this dog had a complete wellness veterinary exam?

Has your dog had a complete veterinary wellness exam after the onset of the behaviour problem?

Yes

May I have permission to discuss your dog's case/progress with your vet?

Yes

Section C: Your Dog's Previous History

Has your dog had any previous owners?

Yes

Has your dog ever displayed any aggression (threat, growl, bark, or lunged) towards

What basic obedience skills does your dog already do well?

Section D: Training History

What kind of formal training has your dog had?

How successful was it? What you liked and didn't like about it?

In what ways have you "corrected/disciplined" your dog for unwanted behaviour?

Section F: Primary Complaint

What is your main reason for contacting a dog trainer/psychologist?

How old was your dog when the problem began?

Describe the first incident you can recall

Starting with the most recent occurrence, describe the problem

Describe the second most recent incident

What have you tried to stop the problem and what was the reaction of your dog?

What Drugs/Foods/Supplements/Herbal Remedies have you tried?

Has your household changed since acquiring your dog?

Yes

What, if any, basic obedience skills would you like your dog to learn?

Is there anything else you think I need to know?

Is there any other information you think I would need to know about you or your dog to allow me to help you with these behaviours?

I agree to terms & conditions provided.

Thank you for taking the time to complete this questionnaire.

If your chose 'Puppy Training', after you click on 'SUBMIT' you will be redirected to book in your initial training session, and then you'll be directed to the payment page.

If you chose 'General Training or Behaviour Issues', you will be redirected to booking in your free 30-minute phone consult.