Owner Information

First name

Last name

Phone Number

Address

Dog Information

Dogs Name

Breed

Age

Age of dog when obtained?

Gender

Male

Female

Is your dog?

Spayed

Neutered

Intact

If neutering was recommended due to behaviour or health, please explain

Where did you get your dog from?

Breeder (KC Assured Breeder)

Breeder (Non-KC Registered)

Rescue centre or shelter (e.g., Dogs Trust, RSPCA, Blue Cross)

Rehomed from family or friend

Rehomed privately (e.g., Pets4Homes, social media)

Overseas rescue (e.g., from Spain, Romania, or Greece)

Farm or working dog litter

Have you owned a dog before? If so, what breed(s)?

Has your dog ever nipped/bitten a human and/or another animal?

Yes

If yes, please describe the incident(s) in detail

Has medical attention been necessary (for humans or animals) because of any aggressive incident?

Yes

Has medical attention been necessary (for humans or animals) because of any aggressive incident? If yes, please explain briefly

Health Information

Does your dog have any current medical problems? Are you concerned about their health in any way?

Does your dog currently take any medication? If so, please list below:

Does your dog have any allergies? If so, please list them below:

Has your dog ever had any major medical problems in the past? If so, please give brief details with dates:

Who is your current veterinarian? (Name and practice)

Diet & Nutrition

What type of food are you currently feeding your dog?

Raw

Kibble

Wet

Fresh/Homecooked

What brand of food do you feed your dog?

How often is your dog fed? (Example: Twice a day at 7 am and 7 pm)

Does your dog finish all their meals?

Yes

Sometimes

Do you give your dog any treats, chews, food toppers or supplements? If so, please list what you use and how often you provide them.

What is your dog's typical behaviour when eating? (e.g., Do they eat quickly or slowly? Do they stop eating if approached?)

Exercise & Biological Fulfilment

What type of exercise does your dog currently get?

How long does their exercise last, and how often is it provided?

Is your dog's exercise on or off lead?

What equipment do you use when walking your dog?

Who is typically responsible for exercising your dog? (Please include any family members or others who help with walks

Do you incorporate activities for mental stimulation? If so, what kind?

Structure & Routine

How much sleep does your dog get at night on average?

Does your dog properly switch off during the day, or are they alert and easily disturbed?

Where does your dog sleep at night and during the day?

Do they have a designated spot to sleep, or is it anywhere?

Where is your dog kept when you aren’t at home?

Is your dog confined during the day?

If yes, how long is your dog confined on average?

Is your dog crate trained?

Yes

Working on it

Motivation & Play

What motivates your dog most (e.g., food, toys, praise)?

Does your dog play with toys or games? If so, what are their favourites?

Do you engage in cooperative play with your dog? (e.g., tug, fetch, play fighting)

Yes

Sometimes

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Does your dog have free access to their toys? Are they left on the floor or kept in a specific place?

Does your dog enjoy interactive activities, such as puzzle feeders or scent games?

Training & Tools

What commands does your dog know? Please list them in detail

How reliable are these cues in real life, especially outdoors or around distractions?

What training tools, if any, have you used with your dog (e.g., harness, slip lead)?

Behaviour

Can you provide a detailed explanation for any of the behaviour problems you selected?

Please list any days / times that you are NOT available for 1-2-1 sessions (this is your Zoom or in-person session)

Have you worked with a trainer / trainers previously? If so how was your experience? Please describe in as much detail as possible

Does your dog have any involvement with other dog related businesses? e.g daycare, dog walker, dog boarding either home or kennels?

Commitment to Training

To achieve the best results for you and your dog, consistency, patience, and teamwork are key. Training works best when everyone in the household, or anyone involved with your dog, is on board with the same approach, ensuring clear and consistent communication with your dog. Even just 15 minutes of practice a day can make a big difference! We’re here to support you, and regular updates, whether written notes or videos, allow Nick to give personalised feedback and help you adjust as needed throughout your programme. We understand life can sometimes get in the way, and we encourage open communication if challenges arise, so we can help you stay on track. By committing to this partnership, you’ll be setting both yourself and your dog up for success. Please confirm below that you’re committed to working with Bear Basics Canine Academy LTD to achieve your original stated goals, work as a team and stay consistent with training.

I have read, understood, and agree to the above commitment.

I agree to the terms & conditions listed on Bear Basics' website and in the client handbook

Yes, subscribe me to your client-only newsletter.

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