Lisa Hilleard
Mob: 0432 633 250
Home: 02 8021 6244
info@politepaws.com.au
www.politepaws.com.au
Questionnaire for...
Puppy Preschool Intake
Date:
Full Names (all family members):
Address:
Home Ph:
Mobile Ph:
Email:
Tell me a bit about yourself…
1. Have you attended formal dog training before? CLICK HERE
2. If “yes”, how long ago: CLICK HERE
3. What type of training have you used: CLICK HERE
4. Do you have any medical conditions that may impact on training? (eg mobility, sight
or hearing conditions)
5. How many people live at your home? Children
Adults
6. If there are children what age are they? 0-5
Teenagers
5-10
10-14
14-18
7. What best describes the home you and your dog live in? CLICK HERE
8. Do you have other pets including dogs and cats in your house? If so please list
them and their sexes.
9. What are your availabilities for Weeknights at 7:30pm?
Monday
Tuesday
Wednesday
Thursday
Friday
10. How did you hear about Polite Paws Dog Training?
Polite Paws® is a registered trademark. It is illegal to copy or reproduce it it any way.
The material on this handout is the intellectual property of Lisa Hilleard, and can’t be reproduced with her approval.
Now tell me a bit about the puppy that will be attending class…
Dog’s name:
Breed:
Age:
Sex: CLICK HERE
(wks)
Colour/Identifying marks:
Date of last vaccination and kind of vaccination (C3, C4, C5):
Which Vet do you use?(Name, address)
1. Why did you choose to buy a dog of this breed?
2. Where did you get the puppy from?
3. Is this your first dog? CLICK HERE
4. Is this your first dog of this particular breed? CLICK HERE
5. When you are home, is your dog usually: outside
6. When left alone, is your dog usually: outside
inside
inside
some of both
some of both
7. Does the dog have any medical conditions, and when was it’s last check up?
8. Has the dog ever growled at, lunged at, or bitten a person? CLICK HERE
If yes, please describe
9. Has the dog ever growled at, lunged at, or bitten a dog? CLICK HERE
If yes, please describe
To secure your place in the next course please transfer a $50 deposit to;
Account Name: Polite Paws Dog Training
Account No.: 466 411 531
BSB Number: 112-879
(Deposit refundable if a course doesn’t commence 3 weeks after email receipt of this intake form)
And send this completed Intake Form to my email address
info@politepaws.com.au
Kind Regards,
Lisa Hilleard
Polite Paws® is a registered trademark. It is illegal to copy or reproduce it in any way.
The material on this handout is the intellectual property of Lisa Hilleard, and can’t be reproduced without her approval.