Behavior Support Request. Behavior Intake Form “Provide a few details about your dog and the behavior you’re seeing. This helps us understand the situation clearly and offer guidance that fits your dog, your home, and your goals.” SECTION 1 — Dog Profile “Dog Information”Dog’s Name(Required)Age(Required)Breed (or best guess)(Required)Sex(Required) Male (intact) Male (neutered) Female (intact) Female (spayed) How long have you had your dog?(Required)Where did your dog come from?(Required) Breeder Rescue Shelter Found/Stray Friend/Family Other SECTION 2 — Primary Behavior Concern“Main Behavior Issue”What is the main behavior you want help with?(Required)When did this behavior start?(Required)Has it been getting better, worse, or staying the same?(Required) Better Worse No change SECTION 3 —Trigger & Pattern Mapping“Behavior Patterns”When does the behavior usually happen?(Required)What triggers the behavior?(Required)What happens right before the behavior?(Required)What happens right after the behavior?(Required)How often does it happen?(Required)DailyWeeklyMonthlyRarelySECTION 4 — Environment & Lifestyle“Home Environment”Who lives in the home? (Adults, kids, elderly)Other pets in the home?Describe your dog’s daily routine (walks, feeding, crate, play).Exercise levelLowModerateHighMental stimulation levelLowModerateHighSECTION 5 — Owner’s Current Response“What You’ve Tried”What do you do when the behavior happens?What has helped?What has made it worse?Have you tried training before? If yes, what kind?SECTION 6 — Goals & Comfort Level“Your Goals”What is your ideal outcome?What is your minimum acceptable outcome?How comfortable are you with training homework? Low Medium High SECTION 7 — Video Upload (Optional)Max. file size: 80 MB. File Upload — Upload a short video (optional) Limit: 1 file, MP4/MOV, max 50–100MB depending on your hosting. SECTION 8 — Safety Check“Safety Questions”Has your dog ever bitten a person?(Required) Yes No Has your dog ever bitten another dog?(Required) Yes No If yes, describe the situation.(Required)SECTION 9 — Contact Information“Your Information”Name(Required) First Last Email(Required) PhoneSECTION 10 — Consent“Agreement”Consent(Required) I agree to the privacy policy. Δ
