| Please complete the form below and click on the submit button. The information on this form will help me to better assess your needs. Once your form is received, you will be contacted via telephone within 2 to 24 hours. If you are having trouble with the form, please feel free to e-mail me at Info@rplusdogs.com or call me at 760-553-6647.
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Name
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Phone
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E-mail
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Mailing Address
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City
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State Zip
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Dog's Name
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Breed
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Your dog's age Gender M F Neutered or spayed? No Yes
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Where did you get your dog?
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Age of dog when acquired?
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How long have you had your dog?
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Approximate percentage of time your dog spends indoors
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Approximate percentage of time your dog spends outdoors
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Has your dog ever growled at, lunged at, attempted to bite or bitten anyone?
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No
Yes
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If yes, please explain:
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Has your dog ever growled at, lunged at, attempted to bite or bitten another animal?
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No
Yes
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If yes, please explain:
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Do you need help for a behavioral problems like house soiling, digging, barking, counter surfing, car chasing or destructive chewing?
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Yes
No
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If yes, please describe the problem.
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How long has the problem been happening?
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Do you need help with basic obedience and pet manners?
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Yes
No
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Would you like to teach your dog tricks?
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Yes
No
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Have you ever attended obedience class with this dog?
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Yes
No
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If yes, what did you like most about that class?
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What obedience skills does your dog already know?
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Sit
Down
Stay
Come
Heel
Attention (watch me)
Drop it (drop what you have in your mouth)
Leave it (don't touch that!)
Other
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Which days of the week are most convenient for you?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
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What time of day is most convenient for you?
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Morning
Afternoon
Evening
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