Private Lesson Questionnaire

Type of lesson

Fill this out before your first private lesson. The more you tell us, the more of the lesson we can spend on training and problem solving. Your answers are saved on this device as you go.

What is the lesson for? Obedience or behavior problems
Housebreaking, crate training, basic home obedience, behavior problems, aggression or anxiety. A detailed questionnaire (about 20–30 minutes).Performance skills
For performance students: competition obedience, agility, breed ring, therapy dog and other class-specific skills. A short questionnaire.

About you

First name

Last name

Email

Best phone number

That number is

Street address

City

ZIP code

Other adults in the household (and relationship)

Names and ages of children in the household

Have you owned dogs before this one? If yes, tell us about them.

Who is the dog’s primary caretaker and trainer?

Your veterinarian

Have you (with this dog or others) taken classes with OneHandler, or are you enrolled now? If yes, which classes, when, and with which instructors?

Has this dog had training classes or private lessons elsewhere? If yes, list them with the school or instructor.

Did someone recommend a private lesson with us? If yes, who, and how do you know them?For example your instructor, veterinarian, a neighbor or a friend.

Your dog

Tell us about the dog this lesson is for.

The dog this lesson is for

Call name

Breed

Age

Date of birth

Sex

Spayed / neutered?

If yes, at what age?

Age when you got this dog

Where you got this dogOwner, breeder, rescue or shelter name.

Last DHLPPC vaccine

Last rabies vaccine

Last Bordetella vaccine

Other vaccines (and dates)

Any health problems

Medication taken regularly

Second dog

Call name

Breed

Age

Date of birth

Sex

Spayed / neutered?

If yes, at what age?

Age when you got this dog

Where you got this dogOwner, breeder, rescue or shelter name.

Last DHLPPC vaccine

Last rabies vaccine

Last Bordetella vaccine

Other vaccines (and dates)

Any health problems

Medication taken regularly

Third dog

Call name

Breed

Age

Date of birth

Sex

Spayed / neutered?

If yes, at what age?

Age when you got this dog

Where you got this dogOwner, breeder, rescue or shelter name.

Last DHLPPC vaccine

Last rabies vaccine

Last Bordetella vaccine

Other vaccines (and dates)

Any health problems

Medication taken regularly

Other pets in the household (dogs, cats, birds, etc.)

Reasons for the lesson

Rate what you’d like help with so we can choose the best instructor for you: slide from 1 (least important) through 3 (neutral) to 5 (most important). Leave anything that doesn’t apply. On the next page you’ll describe examples of the ones you rated. If you have more than one dog, say which dog.

Household issues

HousebreakingNot rated – slide to rate

Crate trainingNot rated – slide to rate

Aggressive when visitors come to the houseNot rated – slide to rate

Fearful when visitors come to the houseNot rated – slide to rate

Out of control (happy, excited) when visitors comeNot rated – slide to rate

Submissive or excited urinationNot rated – slide to rate

Inappropriate barkingNot rated – slide to rate

Mouthing / nipping peopleNot rated – slide to rate

Destruction (chewing inappropriate items)Not rated – slide to rate

DiggingNot rated – slide to rate

Stealing thingsNot rated – slide to rate

Running awayNot rated – slide to rate

Other household issueNot rated – slide to rate

Behavior issues

Dominant behaviorNot rated – slide to rate

Aggressive toward peopleNot rated – slide to rate

Aggressive toward dogsNot rated – slide to rate

Food aggressionNot rated – slide to rate

Toy aggression (bones, etc.)Not rated – slide to rate

Fear issuesNot rated – slide to rate

Separation anxietyNot rated – slide to rate

Other behavior issueNot rated – slide to rate

Basic obedience skills

Walking nicely on leashNot rated – slide to rate

Coming when calledNot rated – slide to rate

Sit or down staysNot rated – slide to rate

Other obedience skillNot rated – slide to rate

Other issues, problems or skills not listed above

Describe the specific incidents that made you look for a private lesson For example biting, going after another dog, pulling you over, dogs in the house not getting along, barking or running away. Please give details, even if you’ve already told us on the phone.

Links to videos of the behavior (optional)Share them with YouTube, Vimeo, Google Drive or similar, and paste the links here. Emailing videos often doesn’t work; we can help if needed.

Reasons for the lesson: tell us more

Please describe each of these in a few words.

Housebreaking

Crate training

Aggressive when visitors come to the house

Fearful when visitors come to the house

Out of control (happy, excited) when visitors come

Submissive or excited urination

Inappropriate barking

Mouthing / nipping people

Destruction (chewing inappropriate items)

Digging

Stealing things

Running away

Other household issue

Dominant behavior

Aggressive toward people

Aggressive toward dogs

Food aggression

Toy aggression (bones, etc.)

Fear issues

Separation anxiety

Other behavior issue

Walking nicely on leash

Coming when called

Sit or down stays

Other obedience skill

What you’d like to work on

This form is for performance class skills (competition obedience, agility, breed ring, therapy dog and so on). For housebreaking, crate training, basic home obedience, behavior problems, aggression or anxiety, please choose the other type of lesson.

Would you like a specific instructor? If yes, who?

What do you want to cover in this lesson? Please be specific and list them in order of priority, so we have time for the most important things.

Links to videos you’d like to review together (optional)YouTube, Vimeo, Google Drive or similar. If you have a video camera, bring it to the lesson.

Daily life

This gives the instructor a picture of your dog’s daily and weekly routine. Skip anything that doesn’t apply.

Where does your dog sleep?

Where does your dog eat?

Who feeds your dog, and at what times?

Brand of food and amount per meal

Where does your dog stay when home alone?

Home alone: about how many hours a day, and how many days a week?

Fenced yard? (size and type of fence, or “no”)

How do you exercise your dog?

Dog walker or sitter (describe)

Walks (how often, how long, where)

Off-leash dog parks (describe)

Doggie daycare (how often and where)

Car rides (how often, and where the dog rides)

Nail trims (how often, who does it)

Brushing (how often, who does it)

Bathing / grooming (how often, who does it)

Boarding (how often, which kennel)

Human visitors at your home (how often, describe)

Dog visitors at your home (how often, describe)

A typical workday

Workdays: what time does your dog wake up?

Who takes the dog out to potty?

Breakfast: what time, and who feeds?

A typical morning (who looks after the dog, activities)

What time do people leave the house?

What time do people get home?

What does your dog do during the day?

A typical afternoon / evening (who looks after the dog, activities)

Dinner: what time, and who feeds?

Bedtime: what time, and where?

Days off (e.g. weekends): what changes? Leave empty if it’s the same.Wake-up, potty, activities, meals, your schedule, crated or loose, bedtime.

Any other regular schedule changes (such as travel)?

Anything else we should know?

A few more questions

Based on your answers, our instructors would find these helpful. They’re optional.

Scheduling

First choice of day(s) and time(s) Give us several options to choose from.

Second choice

Other options

Agreement

Private lesson agreement

Sample agreement for the demo site.

I understand that dogs and people can be hurt in any class. I take responsibility for my dog and for any harm it may cause, and I release One Handler from claims for ordinary risks of dog training.

I have read and agree to the private lesson agreement above.

Type your full name to sign

Agreement

Private lesson agreement

Sample agreement for the demo site.

I understand that dogs and people can be hurt in any class. I take responsibility for my dog and for any harm it may cause, and I release One Handler from claims for ordinary risks of dog training.

I have read and agree to the private lesson agreement above.

Type your full name to sign