Maximum Canine - Pre-Evaulation Assessment

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Section 1: Owner & Dog Information

Full Name *

Email *

Phone *

Street Address

City *

State *

Postal code *

Dog Name *

Dog's Breed *

Dog Age (In Number) *

Dog's Gender *

Male
Female
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Is your dog spayed/neutered? *

Yes

How did you hear about Maximum K9? *

Facebook

Instagram

Google Search

Yelp

Friend

Referral

Other (how did you hear about us)

If Referral, who?

Friend
Vet
Rescue
Breeder
Prior dog trainer
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By providing my phone number and email address, I agree to receive text messages, and emails from Maximum Canine Service.

Section 2: Current 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

Would you describe your home as high-traffic (many people coming and going) *

Yes

Is your dog currently crate trained or regularly crated?

Yes

How does your dog go to the bathroom?

Walked on leash

Let outside in yard

Both

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: Behavior

Main Issues or Goals? (Check all that apply) *

Leash manners

Greeting behavior (jumping)

Barking/whining

Anxiety or separation issues

Reactivity or aggression

Resource guarding (protecting food, items , or space)

Obedience & communication

Housebreaking

Off-leash control

Behavior modification

Advanced skills (agility, protection, scent, sport)

Other

If nothing changes, will these issues disrupt your family long term?

Have you worked with a dog trainer before? *

Yes

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

If yes, what type of training methods have you tried?

Force free training

Balanced training

Board & train

Group training

In-home training

In-facility training

Other (training methods)

Section 4: Sport/Fulfillment

What activities do you currently do with your dog? *

Hiking/outdoor adventures

Playtime (fetch, tug, etc.)

Dog park visits

Dog daycare

Walks

Dog sports (agility, scent, obedience, IGP, etc)

Working dog services (detection, protection, service, etc.)

Other

Is this level of social fulfilment enough for your dog?

What activities does your dog do on their own for independent mental stimulation? (check all that apply)

Food puzzles or Kongs

Snuffle mats

Puzzle games

Lick mats or chew enrichment

Other

Are these independent activities enough for your dog?

Section 5: Fitness

What exercise does your dog get to stay fit and balanced? *

Walks

Jogging/running

Treadmill

Swimming

Yard play

Other

Is your dog’s current exercise enough, or do they need more?

Section 6: Health

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

Other

Are you adding any toppers to your meals? Describe

Does your dog have any specific or known allergies?

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

Fish Oils

Joint Supplement

Probiotic

Weight gainer

Greens Supplement

Calming Supplement

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?

Section 7: Additional Interests

What type of training programs are you interested in? *

Group Training

Private Training

Interactive Board and Train

Open to all Programs

Have you reviewed our programs and pricing? *

Yes

Are you interested in activities that build teamwork & engagement?

Definitely interested

Possibly interested

Not at this time

Would you like to learn more about Anita’s Pure Nutrition for health, behavior & longevity? *

Definitely interested

Possibly interested

Not at this time

Would you like to explore exercise & conditioning routines that support balance?

Definitely interested

Possibly interested

Not at this time

Do you believe behavior, sport, health, and fitness all work together to create a balanced lifestyle where your dog can truly thrive?

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.

Thank you for taking the time to share this information. It will help us assess your dog’s current needs.