Evaluation - Las Vegas K-9 Academy

Home Evaluation

Our trainers come to you!

A certified trainer can do the evaluation from your home for a more convenient experience if needed. There is a $100 fee for the home evaluation which is deducted from the training fee later.

Fill out the home evaluation form to get the process started, and a trainer will be in contact with you shortly!

Evaluation / Behavior History

Thank you for taking the time to fill out this form!

This information will be helpful for our trainers prior to their visit.

There are no wrong answers; we only ask that you be as accurate and honest as possible so that we have a clear picture of your dog’s history. This will help aid us with our overall assessment of your dog’s particular case.

Today’s Date:
MM slash DD slash YYYY
Owners Name
First Last
Cell
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email
Dog’s Name
Breed
DOB
MM slash DD slash YYYY
Male
Neutered
(what age)
Female
Spayed
(what age?)
Where did you get the dog?
How long had dog?
How did you hear about us?
Health Concerns
Is your dog currently on any medication?
Reason
Behavioral Concerns - Please check all that apply:
- Select All
- play-biting
- housebreaking
- counter surfing
- destructive chewing
- submissive urination
- jumping up
- begging
- barking
- fence jumper
- chases-animals, kids, objects
- digging
- pulling on leash
- unruly
- begging
- hyperactive
- fence jumper
- runs away
- territorial
Aggressive to people:
- Select All
- barks
- growls
- lunges
- air snaps
- bites- does not break skin
- bites- breaks skin
- serious bites requiring medical care?
- bites
How many times? (does not break skin)*
How many times? (breaks skin)*
How many times? (serious bites requiring medical care)*
Aggressive to dogs
- barks
- growls
- fights – but no direct contact or injury
- fights – intentional direct contact causing injury
- fights – causing injury resulting in necessary medical attention
How many times? (but no direct contact or injury)*
How many times? (intentional direct contact causing injury)*
How many times? (causing injury resulting in necessary medical attention)*
Temperament – please check all that closely resemble your dog’s personality:
- Select All
- Fearful/ insecure
- Somewhat shy
- Confident/ alert
- Alpha/ Dominant
- Anxious
- Friendly
- Needy/ Dependent
- Self-reliant
- Independent
- Stubborn
- Lazy/ Calm
- Active/ Energetic
- Neurotic
- Playful
- Serious
- Separation Anxiety
- Stressed
When did you first notice the main problem (age of the dog)?
When did it first become a ‘serious’ or annoying concern?
What do you do with your dog when he misbehaves?
Does his behavior then
- Improve
- Worsen
Has the dog had any previous training?
- Yes
- No
where and with who?
What type of training collar do you use?
- Select All
- gentle leader head collar
- haltie head collar
- choke chain
- flat buckle collar
- metal prong collar
- martingale collar
- ‘E’ collar (shock collar)
- chest harness
After previous training, was your dog
- better
- worse
- the same
Where does your dog sleep?
- inside home in a crate
- door open
- door closed
- inside home loose
- on the bed
- closed in a room
- X-pen indoors
- X-pen outdoors
- in the garage
- outside
- tied
- loose
Do you have a fenced yard?
- Yes
- No
Do you have an enclosed dog pen or run outside?
- Yes
- No
How much time does the dog spend outside daily?
- 5-30 min
- 30 min.-1 hour
- 2 – 3 hours
- 4 – 6 hours
- all day
How much time does the dog spend indoors daily?
- 5-30 min
- 30 min.-1 hour
- 2 – 3 hours
- 4 – 6 hours
- all day
Where is the dog when nobody is home?
- inside home loose
- closed in a room
- outside in a dog run
- outside free roaming
- inside home in a crate
- outside in a crate
- other
Do you have an indoor crate?
- Yes
- No
When is the dog put in the crate?
- only when you leave
- only when you are home
- short periods-when you are home & when you leave
- when guests come over
- for punishment
How much time does the dog spend in the crate?
- 5- 10 min.
- 15 – 30 min
- 40 – 60 min.
- 1- 2 hours
- 3-5 hours
- 6+ hours
Is the crate door left open or closed when the dog is in there?
- Open
- Closed
Do you confine your dog to any of the following areas?
- bathroom
- garage
- kitchen
- laundry Room
- family room
- other
- X-pen
- use baby gates
Where is your dog when you have guests?
- loose in the house
- loose outside
- in a crate inside the house
- in a pen or dog run outside
- closed in a room
- tied outside
What type of exercise does your dog get?
- daily walks
- play ball / retrieve
- runs
- swimming
- agility
- dog parks / dog beach
- doggie day care
- dog sports / competition
How often?
- 1-3 Times a week
- Everyday
- 4-6 Times a week
Who takes him/her?
Does the dog have free run of the house?
- Yes
- No
Certain rooms?
Is your dog allowed up on the beds or furniture?
- Yes
- No
Is this a concern for you?
- Yes
- No
How many times a day is the dog fed?
- 1 time
- 2 times
- 3 times
- 4 times
- free fed
Do you leave the food out or do you take it away after he eats?
- leave food out
- take food away
What brand of dog food do you feed?
Is your dog ever tied up?
- no, never
- yes, outdoors
- yes,indoors
- yes, indoors and outdoors
Do you use a dog door?
- Yes
- No
How does the dog behave with 'unfamiliar' visitors?
- friendly
- over-excited
- pushy /demanding
- polite /confident
- fearful /standoffish
- runs away
- backs away / hides/ retreats
- growls
- barks
- lunges
- tries to bite
Please list the people living in your home, including yourself. List ages of children:
Please list all other dogs living in the household. Please include the breed, sex, and age of each dog, and how they get along with each other:
Fees
Price:
Credit Card*

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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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