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Step
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Owner's Name
*
First
Last
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Dog's Name
*
Dog's Breed
*
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Dog's DOB
DD
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MM
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YYYY
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Dog's Age (Year)
*
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0 Years
1 Years
2 Years
3 Years
4 Years
5 Years
6 Years
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9 Years
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14 Years
15+ Years
(Month)
*
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0 Months
1 Months
2 Months
3 Months
4 Months
5 Months
6 Months
7 Months
8 Months
9 Months
10 Months
11 Months
Address
*
Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia (Plurinational State of)
Bonaire, Saint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Congo (Democratic Republic of the)
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Kingdom of)
Ethiopia
Falkland Islands (Malvinas)
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland (Republic of)
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea (Democratic People's Republic of)
Korea (Republic of)
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia (Federated States of)
Moldova (Republic of)
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia (Republic of)
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine (State of)
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin (French part)
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten (Dutch part)
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syrian Arab Republic
Taiwan, Republic of China
Tajikistan
Tanzania (United Republic of)
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United States Minor Outlying Islands
United States of America
Uruguay
Uzbekistan
Vanuatu
Vatican City State
Venezuela (Bolivarian Republic of)
Vietnam
Virgin Islands (British)
Virgin Islands (U.S.)
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
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Contact No.
*
Members in the family
Email
*
Have you had a dog before?
*
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Yes
No
Next
Dog’s History
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How did you get your dog? (Breeder / Shop Name)
*
At what age did she/he leave his/her mother?
Did you meet his/her parents?
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Yes
No
Did your dog have/had a previous home?
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Yes
No
How long have you had your dog?
*
Medical Background
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Name of Veterinarian
*
Vaccinations?
*
Any current medications?
*
Spayed/Neutered?
Any medical issues?
Any dietary restrictions?
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Next
Environmental Habits
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Any prior training?
Average duration dog alone at home?
Daily activity
*
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Where does dog sleep?
Is dog crate trained?
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Yes
No
How do you correct bad behaviour?
Dog’s favourite items to play?
*
Is dog allowed on furniture?
---
Yes
No
Potty area?
Ever used walker/daycare/boarding?
Dog’s favourite food/treats?
*
Temperament and Behaviour details
Layout
Any family member afraid/uncomfortable?
*
---
Yes
No
Does dog have any fears (sounds, vehicles, dogs…etc.)?
Any destructive behaviours (chewing, digging)?
*
Family can handle/bath/trim nails?
---
Yes
No
Can you take food/toys away from dog?
---
Yes
No
Previous
Next
Social Behaviours
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React to another dog (snapped, growled, lunged)?
*
Bitten anyone (if so under what circumstances?)
*
React to humans/children?
*
What are his/her triggers?
Trainers/Behaviorists Role (your expectations in brief)
*
Terms & Conditions
*
Yes, I agree to the terms & conditions listed below.
General Terms and Conditions:
Consultation fees per dog have to be paid in advance to the session (preferably a day before the consult).
Consultation needs to be pre-booked.
Dog training or any behavioural modification programme is done in the presence of adult family member(s) and is a process and requires time, so a minimum of 24 sessions (2 months) are necessary. However, it differs from every dog, some may require more and some less. Sessions or programmes are designed to work at your dog’s pace and comfort with positive and humane methods only.
Each session fee mentioned at the time of consult is non-negotiable.
Training sessions have to be booked in advance.
All sessions advance fees are mandatory before the commencement of a training or behavioural programme. In a week not more than 3 sessions will be conducted.
If the client wishes to discontinue with the behavioural programme or training sessions 50% of the remaining amount will be refunded.
Zoomies have the right to discontinue training and behavioural programmes, in which case the entire remaining amount will refunded.
During a behavioural consult Zoomies can click pictures or shoot a video of your dog(s) which will be helpful for designing a specific behavioural training programme. This will be private and will not be posted on any social media accounts.
Zoomies have the right to click pictures and videos of training sessions with clients dog(s) and post it on professional social media accounts.
Behavioural training programme is as per the problems assessed during the first consult.
The training or behavioural programme is specific to the dog(s) that the programme has been designed for and should not be used in part or whole with any third party.
In no event will Zoomies be held responsible under any circumstances whatsoever to the client for lack of time and effort.
In no event will Zoomies be liable to the client or any third party for damages or losses.
In no event will Zoomies be liable for any loss, injury or liability to the client.
It is compulsion to keep your dog(s) on collar and leash at all times during the consult and for all training sessions.
Payment mode:
Gpay: 983 301 1220
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