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Dog Training in Perth, Western Australia
0400 064 191

Specialising in Off-Leash Reliability, Socialisation & Aggression

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If you are considering working with me, please fill out the evaluation form below.

Please Note this is NOT an evaluation Booking - this form is for information purposes only. To book an evaluation, click here.

Please also contact me separately to this form when you do complete it. I get many of these through each week & they are not actively monitored until contact is made.

Evaluation Form

First Name*

Last Name*

Email*

Phone*

Address (or at least Suburb)*

Please contact me separately and/or Book an Evaluation at the button, this form is for information purposes only and is not an evaluation booking.

YOUR DOG: Name*

YOUR DOG: Sex (if more than 1 dog or chemically castrated/implant click "other" and explain there) *

Male Entire

Male Sterilised

Female Entire

Female Sterilised

Other

YOUR DOG: Are your dogs vaccinated? (I only allow vaccinated dogs at my property as I run puppy classes from home)*

Yes, up to date

No

Other

Breed (or best guess) *

YOUR DOG: Date Of Birth (If you don't know, skip to next question)

Day

Month

Year

YOUR DOG: Approx Age when filling out this form

YOUR DOG: Where did you get your dog from & at what age? *

YOUR DOG: Does your dog have any health problems, allergies or are they on any medication? *

BEHAVIOUR: Behaviour Problems - please describe the main issues you are having with your dog. Include everything and be as specific as you can be.*

BEHAVIOUR: History With Other Dogs/People (see more info below on what to include)*

- Has your dog been socialised with other dogs?

- Is your dog from a single or multi-dog household?

- Would you say your dog is social with other dogs? (Well mannered? Boisterous? Shy?)

- Has your dog shown aggression to other dogs? Be specific - when? (On-lead, off-lead, over resources, at home, at the park etc).

- Please explain how your dog reacts to new people & kids and outline any prior issues in this department. Be specific and note whether any aggression/nervousness is mainly with males, fe

BEHAVIOUR: Bite History with Dogs/Animals (If none, check "None" and move on)*

Has bitten, damage done (punctures, scratches, tears, etc)

Has bitten, however no damage was done

Has bitten, dog held on and wouldn't let go - we had to intervene to stop them

None, my dog has never bitten another dog or animal before

Other

BEHAVIOUR: Bite History with Humans (If none, check "None" and move on)*

Has bitten, damage done (punctures, scratches, tears, etc)

Has bitten, however no damage was done

Has bitten, dog held on and wouldn't let go - we had to intervene to stop them

None, my dog has never bitten another dog or animal before

Other

BEHAVIOUR: Problems you are having with your dog: Tick ALL that apply.*

Jumping up on you/guests

Nipping/Mouthing

Pulling on leash

No manners when interacting with other dogs

General over excitement/unable to calm down

Reactivity on leash (will lunge/bark at other dogs/humans/animals when leashed)

Redirecting during reactivity (turning around to bite the leash or you when reacting)

Destruction in the home/yard (including digging)

Nuisance Barking

Toileting in the house

Very fearful / anxious

Separation Anxiety

Won't come when called when distractions present (no recall)

Unhealthy anxious behaviour (licking, OCD behaviours)

Is showing aggression or reactive behaviour towards other dogs

Is showing aggression or reactive behaviour towards humans

Has attacked another animal

Excited by prey animals (tries to chase - may have killed or may try to)

Is guarding toys and/or food from you or other dogs

Is fighting with other household dogs

Fence fighting with dogs next door (running the fence line)

Other

OTHER INFO: Home Life - see below for what to include in your response *

- Where your dog sleeps at night and is left when you're not home

- Who lives in the household with your dog (include other pets)

- Typical run-down of your day (how long your dog is left alone, time inside/outside etc.)

- What is your dogs diet and how is he/she fed? (From a bowl once a day, food out all the time, food via training)

- How often do you exercise your dog? (Be honest! I won't judge, I'm here to help)

OTHER INFO: Have you been through any training prior? If so, what were your results/what did you get out of the training? If the training didn't help you, why do you think it didn't help?*

GOALS: What do you hope to achieve through training? What are your main goals/dreams with your dog?*

Which Service were you interested in booking for? You can find all of these on my website for more information. *

Glory's Speedy Sessions (One-Off Sessions)

Bundy's Basics Program (Basic Program) - for basic issues/mild reactivity/bad manners

The Full Ferris (Advanced Program) - please note this is the only program I offer for severe/serious issues

I'm not sure yet!

I will be needing something from you as a client!

Are you willing to switch things up in the way you live and interact with your dog? (Humour me, I wouldn't recommend it if it didn't work!).

- I require an open mind, willingness to try new ways of communicating to your dog and ability to keep up with homework.

- Please have a look around before sending this form.

Where did you hear about me?*

Show me your dog! :)

Am I the right Trainer for you?

Book an Evaluation

ABN: 38 322 407 514
© 2024 by The Holistic Hound. Last updated Oct 2025.

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