Intake, Ozzi Dogz

New Client Intake Form

Request for Canine Behaviour & Training Services & Client Intake Form.

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Please confirm that you have read and understand all the above information.*

I confirm.

You cannot proceed if you do not confirm that you have read and understand the information on this page.

Owner Information

Name*

FirstLast

Email*

Enter EmailConfirm Email

Phone*

Mobile preferred

Address*

Street AddressCitySatePostcode

Facebook Profile Link

Please provide your Facebook profile for easy communication.

Home & Lifestyle

In this section, you will be asked to provide information about your home environment.

Are there any other people living in your home with you?*

Yes

Please list all other people that live in your home.

This includes people that regularly stay at your home, e.g. children on joint custody basis.

People living in your home.

Please list all people that are living in your home.

Are there any pets living in your home?*

Yes

Please don't include the dog you want to be trained.

Pets living in your home.

Please list any other pets that are living in your home. Please only include all animals your dog interacts with, e.g. dogs, cats, and livestock. Please do not include animals such as fish, rats etc.

Does your dog get along with these pets? If no, please provide information.

Dog's Information

In this section you will be asked to provide information about your dog.

Name*

Age*

Or best guess.

Gender?*

Female

Male

Desexed?*

Yes

Age when desexed

Breed/s*

Or best guess

When did you get your dog and how old was it?*

Where did you get your dog from?*

Dog's Health & Lifestyle Information

Veterinarian's Information*

Please include the practice name, contact number and location.

When was the last time your dog visited the vet?*

Within the last 3 months

3 - 12 months

Over 12 months ago

For any condition or reason, including routine care.

Is your dog up to date with its vaccinations?*

Yes

Is your dog up to date with parasite (worm/flea/tick) and heartworm protection?*

Yes

Does your dog suffer from any ongoing medical conditions?*

Yes

This includes, but is not limited to things such as allergies, skin conditions, gum disease, joint pain etc.

Please explain what conditions your dog suffers from.

During an average workday, how long is your dog left alone? Where is your dog kept when no one is home?*

Does your dog get regular exercise?*

Yes

What type of exercise and roughly how much?

Example, walked daily for 30 minutes.

What type of feeding schedule is your dog on?*

Free fed - bowl left out

Schedule feeding - fed at certain times e.g once a day

Other

Has your dog had any previous training?*

Yes

Please include any training that you have done, puppy school etc

What type of training?

Please provide as much information as possible, including if it was helpful or not.

Training/Behaviour

The following section will ask you for more information about why you have contacted us and what services you are wanting from us.

Are you looking for help with...*

Obedience Training

Behaviour Modification

Unsure...

Once you have selected a service, you will be presented with options relevant to your selection.

Are you looking for...

Basic obedience for a puppy (<6 months old)

Basic obedience for an adult dog (>6 months old)

Once you have selected a service, you will be presented with options relevant to your selection.

Basic Puppy Obedience - for dogs 5 months and younger.

Help selecting a puppy for your family/lifestyle

Help preparing for a puppy - before the puppy comes home

Basic manners

Basic obedience - sit, stand, down, stay etc

Crate training - management training

Leash manners

Socialisation

Other

We have a number of packages available to help you and your pup have a long and happy life together. Below you will find options that we recommend, please select the options that you are most interested in.

Other

Please explain.

Basic Adult Dog Obedience - for dogs 6 months and older

Basic household manners

Basic obedience - sit, stand, down, stay etc

Crate training - management training

Leash manners

Other

We have a number of packages available to help your dog with basic obedience and manners - this does not include fixing behavioural issues such as leash pulling due to reactivity, or aggression etc., if you need help with these types of behaviours, please select behaviour modification. Below you will find options that we recommend, please select the options that you are most interested in.

Other

Please explain.

Behaviour Modification

Leash pulling - reactivity towards dogs

Leash pulling - reactivity towards humans

Aggression - dogs

Aggression - humans

Fear

Anxiety

Separation Anxiety

Household dogs fighting

Council - menacing/dangerous dog cases

New adopted dog help

Jumping on people

Barking

Stranger danger/territorial aggression

Other...

We pride ourselves in helping people, and their dogs overcome all types of behavioural issues, from bad manners, such as jumping, to more serious problems, such as human/dog aggression. Above is a list of the most common behavioural issues we help owners overcome, however, we offer services for a wide range of problems. If you do not see your issue listed, please select 'Other', and you will be given the option to explain what you need help with.

Please provide more information about the behaviours you would like help with.

Please be as specific as possible, including when the behaviours started, how old the dog was when it started, how many times it has happened, who is involved etc.

Please explain what you would like help with.

Is there anything else you would like us to know about your request for dog training or the issues you are facing?

This helps us know how best to help you and will help us give you a better idea of wait time.

Agreement*

I have read, understand and agree to the terms and conditions.

Please read the following agreement carefully.

By submitting this request you agree that you have provided all relevant information about your situation and your dog.
You agree that all information provided is true and accurate and that providing false information may result in the refusal of service or termination of any agreement.

Payment Terms:
- Evaluation and single follow-up sessions are prepaid and must be paid for when booking your appointment.
- Full Training Packages must be prepaid before your evaluation session.
- Follow-up Training Packages will require you to prepay your evaluation session, after that session is conducted, you will then be invoiced for the remaining sessions, and payment will be required before your first follow-up session.
- No session will be conducted if your payment has not been made.
- Payment is to be made via direct bank deposit only - we do not accept cash or PayPal, or any other payment methods (unless agreed upon in advance).
- Failure to make payment will terminate your agreement.

Please note, submitting this application does not guarantee you will be offered a place as a client and is not a full agreement between you and Ozzi Dogz.

Terms and conditions may vary and change at the discretion of Ozzi Dogz.

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