Maximum Canine - Pre-Evaulation Assessment

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Section 1: Owner & Dog Information

Full Name *

Email *

Phone *

Dog Name *

Dog's Breed *

Dog's Age *

Puppy (Under 1 year)
Adult (1-7 years)
Senior (7+ years)
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Dog's Gender *

Male
Female
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Is your dog spayed/neutered? *

Yes

Section 2: Dog Behavior & Training Goals

What are your current training goals for your dog? *

Housebreaking

Leash pulling

Socialization

Communication

Basic obedience

Off-leash control

Behavior modification (e.g., aggression, anxiety)

Advanced skills (e.g., agility, protection work, scent work, dog sports)

(Check all that apply)

Other

What issues are you currently facing with your dog? *

Pulling on the leash

Jumping on people

Barking or whining excessively

Fear or anxiety

Dog or human aggression

Resource guarding

General lack of obedience

Communication breakdown

(Check all that apply)

Other

Have you worked with a dog trainer before? *

Yes

If yes, what training company/trainer did you work with and for how long?

What type of training methods have you tried?

Force free training

Balanced training

Board & train

Group training

In-home training

In-facility training

skip if "no"

Other

If you've tried other training programs before, please tell us more about your experience

How experienced are you with dogs? *

First-time dog owner
Some experience with previous dogs
Experienced (owned multiple dogs and trained them)
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Section 3: Dog's Lifestyle & Home Environment

What’s your home environment like? *

House with a fenced yard

House without a fenced yard

Apartment or condo

Is your home in an urban, rural or suburban area?

Urban
Rural
Suburban
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Other pets in the home? *

Are there other people in the home? *

Children

Adults

Seniors

No, just me

(check all that apply)

If yes, how many people in total?

What activities do you currently do with your dog? *

Walks

Hiking or outdoor adventures

Playtime (fetch, tug, etc.)

Dog park visits

Dog sports

(Check all that apply)

Other

If dog sports, competitively or not competitively?

Competitively

Not competitively

If you've participated in dog sports, please tell us what type of sports you've done

Section 4: Additional Interests

Would you be interested in learning about any of the following for your dog? *

Nutritional consultations (e.g., creating a diet plan that fits your dog’s needs)

High-quality dog food options

Training tools (e.g., leashes, collars, toys)

Fitness and conditioning programs

Dog treadmill cross training

Enrichment (activities, toys and puzzles)

Dog sports

None at the moment

(Check all that apply)

What’s the biggest challenge you want solved with your dog? *

Better behavior at home

Leash walking without frustration

Increased obedience and control

Reduction in fear, anxiety, or aggression

Clear communication process

Better relationship

(Check all that apply)

Other

What type of training programs are you interested in?

Group Training

Private Training

Board and Train

Section 5: Nutritional Information

Dog's Approx. Weight *

How would you describe your dog's energy level? *

What are currently feeding your dog? *

Kibble/dry food

Canned food

Freeze dried

Cooked food

Dehydrated food

Raw food

check all that apply

Other

Are you adding any toppers to your meals? Describe *

Are you adding any supplements to your dog's diet? *

Fish Oils

Joint Supplement

Probiotic

Weight gainer

Greens Supplement

Calming Supplement

check all that apply

Other

Are you giving your dogs recreational chews?

Raw meaty bones

Dried treat products (ex: bully sticks, pig ears)

Longer lasting chews (ex: marrow bones, sheep horns, coffee wood)

Other

Are you giving your dog any daily treats? *

Does your dog have any specific dietary requirements? *

Does your dog have any specific or known allergies? *

Any other pertinent information you think we should know?

Section 6: Next Steps & How You Found Us

How did you hear about Maximum K9? *

Facebook

Instagram

Google Search

Yelp

Friend

Referral

(Check all that apply)

If Referral, who?

Friend
Vet
Rescue
Breeder
Prior dog trainer
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Other

Are you ready to take the next step toward a better relationship with your dog *

Yes, I’m excited to see if my dog qualifies for the Evaluation Session!

I’m interested but have questions.

By providing my phone number and email address, I agree to receive text messages, and emails from Maximum Canine Services.