Your Problems with Your Dog Are: (Check All That Apply)

KPT/BEGINNEER QUESTIONAIRE

WELCOME to Ramapo Kennel Club dog obedience classes. Our wish is that you and your companion will have as much fun in these classes as we, your instructors do. With some patience, time, and effort on your part and ours you should end this series not only with a better trained companion, but also with greater understanding of your dog, how his mind works, and how he relates to you. so that we may help you as much as possible, please fill out this questionnaire and return it with your registration form, class fee and immunization records if applicable. Your answers will be kept strictly confidential.

Your problems with your dog are: (check all that apply)

( ) Does not come when called ( ) Growls or bites over food or toys

( ) Jumps on people ( ) Frightened of strangers or other dogs

( ) Runs Away ( ) Aggressive with other dogs

( ) Barks continually ( ) Aggressive with strangers

( ) Control in the car ( ) Aggressive with family members

( ) Puppy nipping or mouthing ( ) Car Sickness

( ) Chews ( ) Behavior during grooming/vet visits

( ) Is not housebroken ( ) Other problems:

Where did you get your dog and how old was he?

What does your dog dislike most? What does he do about it?

What do you feel are the most important things for your dog to learn?

Has your dog ever bitten anyone in anger or fear as opposed to play? ( ) Yes ( ) No (please outline circumstances on back of form)

Have you ever had a dog before? ( ) Yes ( ) No If yes, do you still have it” If “no” what happened to it?

Have you ever trained a dog before? ( ) Yes ( ) No If yes, where and when? Do you have any physical limitations that we should know about that will affect the way you handle your dog? ( ) Yes ( ) No Please explain

Are you interested in getting involved in competition with your dog? That ism, exhibiting at obedience or rally trials for AKC/UKC titles? ( ) Yes ( ) No

Your Name______

Dogs Name ______

Breed______

Thank You.

Ramapo Kennel Club Obedience Instructors