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Assessment Form
Fill out this assessment form in order to schedule a consultation. Expect an email response within 48 hours of submission. If you do not receive an email within this time you can email me at alyssa@legendsdogtraining.com Thanks in advance for taking the time to fill this out.
[/et_pb_text][/et_pb_column][/et_pb_row][/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.21.0″ _module_preset=”default” background_color=”rgba(150,150,150,0.29)” custom_padding=”30px||||false|false” global_colors_info=”{}”][et_pb_row _builder_version=”4.21.0″ _module_preset=”default” custom_padding=”18px|||||” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.21.0″ _module_preset=”default” global_colors_info=”{}”][et_pb_contact_form email=”alyssa.lapinel@gmail.com, broseproductions@gmail.com” title=”Assessment Form” custom_message=”Name: %%Name%%||et_pb_line_break_holder||||et_pb_line_break_holder||Last Name: %%Last_Name%%||et_pb_line_break_holder||||et_pb_line_break_holder||Email: %%Email%%||et_pb_line_break_holder||||et_pb_line_break_holder||Phone Number: %%Phone_Number%%||et_pb_line_break_holder||||et_pb_line_break_holder||Do you live in San Diego: %%Do_you_live_in_San_Diego%%||et_pb_line_break_holder||||et_pb_line_break_holder||If not what city and state List city and country if you reside outside the United States: %%If_not_what_city_and_state_List_city_and_country_if_you_reside_outside_the_United_States%%||et_pb_line_break_holder||||et_pb_line_break_holder||If yes what neighborhood: %%If_yes_what_neighborhood%%||et_pb_line_break_holder||||et_pb_line_break_holder||What type of_home do you live in: %%What_type_of_home_do_you_live_in%%||et_pb_line_break_holder||||et_pb_line_break_holder||What application do you prefer to do the online video consultation: %%What_application_do_you_prefer_to_do_the_online_video_consultation%%||et_pb_line_break_holder||||et_pb_line_break_holder||What service are you interested in: %%What_service_are_you_interested_in%%||et_pb_line_break_holder||||et_pb_line_break_holder||Dogs Name: %%Dogs_Name%%||et_pb_line_break_holder||||et_pb_line_break_holder||Dogs Age: %%Dogs_Age%%||et_pb_line_break_holder||||et_pb_line_break_holder||Dogs Breed approx weight for mixed breeds: %%Dogs_Breed_approx_weight_for_mixed_breeds%%||et_pb_line_break_holder||||et_pb_line_break_holder||Gender: %%Gender%%||et_pb_line_break_holder||||et_pb_line_break_holder||Spayed or Neutered: %%Spayed_or_Neutered%%||et_pb_line_break_holder||||et_pb_line_break_holder||Where was the dog acquired: %%Where_was_the_dog_acquired%%||et_pb_line_break_holder||||et_pb_line_break_holder||How long have you had the dog: %%How_long_have_you_had_the_dog%%||et_pb_line_break_holder||||et_pb_line_break_holder||Health Concerns: %%Health_Concerns%%||et_pb_line_break_holder||||et_pb_line_break_holder||Do you have more than one dog that needs training: %%Do_you_have_more_than_one_dog_that_needs_training%%||et_pb_line_break_holder||||et_pb_line_break_holder||Names of people that have regular contact with dog, provide age and relation if under 18: %%Names_of_people_that_have_regular_contact_with_dog,_provide_age_and_relation_if_under_18%%||et_pb_line_break_holder||||et_pb_line_break_holder||Do you have other pets: %%Do_you_have_other_pets%%||et_pb_line_break_holder||||et_pb_line_break_holder||Where does dog stay when home alone: %%Where_does_dog_stay_when_home_alone%%||et_pb_line_break_holder||||et_pb_line_break_holder||Where does dog stay during day: %%Where_does_dog_stay_during_day%%||et_pb_line_break_holder||||et_pb_line_break_holder||||et_pb_line_break_holder||Where does dog stay at night: %%Where_does_dog_stay_at_night%%||et_pb_line_break_holder||||et_pb_line_break_holder||Is your dog crate trained: %%Is_your_dog_crate_trained%%||et_pb_line_break_holder||||et_pb_line_break_holder||Any previous training: %%Any_previous_training%%||et_pb_line_break_holder||||et_pb_line_break_holder||Does your dog go on daily walks: %%Does_your_dog_go_on_daily_walks%%||et_pb_line_break_holder||||et_pb_line_break_holder||On walks do you use a collar or harness: %%On_walks_do_you_use_a_collar_or_harness%%||et_pb_line_break_holder||||et_pb_line_break_holder||Allowed on Furniture: %%Allowed_on_Furniture%%||et_pb_line_break_holder||||et_pb_line_break_holder||What type of food does your dog eat: %%What_type_of_food_does_your_dog_eat%%||et_pb_line_break_holder||||et_pb_line_break_holder||Does your dog have food allergies: %%Does_your_dog_have_food_allergies%%||et_pb_line_break_holder||||et_pb_line_break_holder||Feeding Schedule: %%Feeding_Schedule%%||et_pb_line_break_holder||||et_pb_line_break_holder||Is your dog social with unfamiliar people: %%Is_your_dog_social_with_unfamiliar_people%%||et_pb_line_break_holder||||et_pb_line_break_holder||When guests enter my home my dog : %%When_guests_enter_my_home,_my_dog%%||et_pb_line_break_holder||||et_pb_line_break_holder||Has your dog ever bitten a person not including play mouthing biting: %%Has_your_dog_ever_bitten_a_person_not_including_play_mouthing_biting%%||et_pb_line_break_holder||||et_pb_line_break_holder||Is your dog social with unfamiliar dogs: %%Is_your_dog_social_with_unfamiliar_dogs%%||et_pb_line_break_holder||||et_pb_line_break_holder||Has your dog ever bitten another dog not including play mouthing biting: %%Has_your_dog_ever_bitten_another_dog_not_including_play_mouthing_biting%%||et_pb_line_break_holder||||et_pb_line_break_holder||Food Drive: %%Food_Drive%%||et_pb_line_break_holder||||et_pb_line_break_holder||Toy Drive retrieving or playing tug with people: %%Toy_Drive_retrieving_or_playing_tug_with_people%%||et_pb_line_break_holder||||et_pb_line_break_holder||Check issues that you would like to discuss with Trainer: %%Check_issues_that_you_would_like_to_discuss_with_Trainer%%||et_pb_line_break_holder||||et_pb_line_break_holder||How do you reinforce desirable behavior: %%How_do_you_reinforce_desirable_behavior%%||et_pb_line_break_holder||||et_pb_line_break_holder||Specify Other: %%Specify_Other%%||et_pb_line_break_holder||||et_pb_line_break_holder||How do you address undesirable behavior ie jumping barking: %%How_do_you_address_undesirable_behavior_ie_jumping_barking%%||et_pb_line_break_holder||||et_pb_line_break_holder||Referred by: %%Referred_by%%||et_pb_line_break_holder||||et_pb_line_break_holder||It’s ideal to begin training shortly after consultation meeting once each week. 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