EVALUATION FORM Name*Phone*Email Address*Best time to reach you?Select...MorningAfternoonEveningWeekendsAnytime!Your Location*Dog's Name*Dog's Breed*Dog's Gender*Select...MaleFemaleDog's Age*How long have you owned your dog?*Any medical history that might be pertinent...How many members in your household?*Children?*Select...YesNoChildren's ages (if applicable). Check all that apply. 0-2 3-5 6-8 9-12 13+ Methods used when correcting your dog...*Is your dog crate trained?*Select...YesNoIs your dog allowed on furniture?*Select...YesNoWhere does your dog sleep?*Has your dog bitten another dog, human, or child?*Select...YesNoUnsureIf so, please explain...Does your dog exhibit any of the following? Check all that apply. Destructive behavior Chewing problems Housebreaking problems Digging Jumping Running away Chasing cars, cats, other Food and/or toy possessive Has your dog ever otten into a dog fight?*Select...YesNoUnsureDoes your dog growl, bark, or lunge at other dogs, humans, or children?*Select...YesNoOccasionallyHas before in the pastAnything else to add about your dog's behaviors?