Basic Behavior Intake Name * First Name Last Name Dog's Name / Age / Breed / Sex * Is the dog spay/ neuter * Yes No Dog's age at acquisition * Routine What is your Dog's Daily Routine? * What do they do for exercise and how often? Where do they go when no one is home? What kind of Toys do they play with? Training History and reinforcers Have you previously had training with your dog? * Describe what you learned, and tell us if you achieved what you were looking for. Client Goals What would you like to be able to do with your dog? What is your end goal? * Thank you!