EVALUATION FORM - Ruff World Training

Name *

First

Last

Email *

Phone *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Name *

Breed(s) *

Weight *

Age (use months up to 24) *

Where did you obtain your dog?

Age YOU Adopted *

Brief history of your dog

Other pets in the home? *

Up to Date on Shots *

Spayed/Nuetered

Behavior on leash (choose worse) *

Behavioral Concerns towards dogs *

Behavioral Concerns towards People *

Other Behavioral Concerns *

Behaviors have gotten *

Bite history with DOGS? *

Bite history with PEOPLE *

Any prior professional training?

When you leave your dog at home unattended they are.... *

Training Goal's. Tell us anything we should know. *

Prefered Training Route *

Days available for training sessions

Times available for training sessions (Mornings, Afternoons, Evenings)