Registration-HISTORY Form

Your pet's current age: *

Roughly, how long does it take for your pet to consume his/her food? *

If your pet is DOG, how do they react to other pets on walks? *

All of the information that I/We have given & is contained within this New Client Registration-History Form is true & correct *

Yes

What is your above-named pet’s relationship status with any other family pets? *

Friendly (approaches/interacts)

Neutral (ignores)

Unfriendly (avoids/antagonises)

Any changes (please describe in the box below)

N/A - I have no other pets

Regarding any changes in behaviour towards UNKNOWN animals, or anything of note, or concern, please describe: *

If yes, please describe sustained injuries & medical care needed: *

In general, how do you think your pet respond to your emotional state? *

What percentage of time do you estimate your pet spends INDOORS? During this time what are they doing? *

How long does the behaviour in question occur for? *

Of the above goals, what are your top three training priorities (i.e. things you would like your pet TO do)? *

What, if any, behaviours (e.g. tricks, obedience, sports, etc.) have you taught your pet? (What was your reason for teaching these behaviours?) *

Are there any situations which you actively avoid with your pet? Why? Please describe in detail: *

Your Vet’s name, & Vet Clinic name & location - including their email address: *

I/We confirm that I am/We are over 18 years old, & have authority to give consent for, & to undertake training +/- behavioural treatment with, this pet. *

Yes

How does your pet take food & treats from your hand: e.g., gently, snappy, etc. (Does this change in different situations? How?) Please describe: *

What is the longest time your pet is typically alone for? *

How does your pet interact with wildlife +/- livestock, e.g. ignores, chases, kills, etc. (please be as descriptive as possible)? Do they hunt/show predatory behaviours? Have there been any changes? *

How many people care/are responsible for your pet? Names of the caregivers: *

Your pet's breed-type: *

What starts the behaviour in question? *

Your pet's species *

Dog

Cat

Other (please specify below, in "breed-type" box)

Have your pet’s eating habits or feeding routines changed? (Have any changes been due to yours, or your pet's choices?) *

What specific goals would you like to focus on for training & behavioural management? *

When alone, what do you think your pet is doing? (Have you ever filmed/recorded them? What did you see/hear?) *

(Is there anything specific that I need to know or that needs arranging re: finding your home or parking?) *

What happens if you take something away from your pet? Food, chews, toys, etc.? (NB: Please don’t try this out to answer the question, just describe anything of note.) *

What happens to your pet when you are away, e.g. on holiday? How do they respond to this arrangement? *

Is your pet currently on non-prescribed, over-the-counter, complimentary or supplemental products? *

Yes

No

How does your pet typically respond to handling, e.g. for routine care, grooming, treatments, procedures, putting on of collars/leads/harnesses, human-instigated petting, being lifted up, etc.? Easy/difficult, scared, struggles - please describe in detail: *

Why did you choose this breed type? *

If your pet is DOG, what type of lead do you use: e.g., standard clip, retractable, slip, etc. (Why do you choose this equipment?) *

What have you already tried to solve this problem behaviour? (If there is more than one behaviour of concern, please least what you have tried for each) *

If you do any training with your pet, are they active, excited, frenzied, calm, reluctant, other? Please describe: *

Do you think your pet enjoys this food? (& what makes you think this?) *

Have your pet’s exercise habits or routines changed recently (when & how)? Who instigated any changes (you/your pet)? *

Does your pet have food any sensitivities? *

What percentage of time do you estimate your pet spends OUTDOORS? During this time what are they doing? *

Please give details of any veterinary-prescribed medications, +/- non-prescribed products: *

What is your pet’s favourite activity or game? *

Are there additional pets in your home? *

Yes

No

Your full name: *

I/We acknowledge receipt and agree to the Booking Confirmation Email, Key Facts (Parts 1 & 2), Terms of Business, Pricing Structure-Policy, & Privacy Policy (link to info below, for your convenience) [1]. *

Yes

How often do you feed your pet? *

When does the behaviour in question NOT occur? *

In general, how does your pet respond to movement (e.g. cars, bikes, joggers, objects)? Please describe: *

Regarding interactions with household/known humans, please tell us about anything of note - special bonds, problematic relationships, fights, any recent changes, etc.: *

How many people normally live in the home? And what is the family/household structure? *

Please could you send a brief video of this problem(s), +/- your pet’s “normal” in problem situations, when you return this form, if possible - WeTransfer (use email address: linda@inspiringpets.com) or WhatsApp (use 'phone no.: 07985 905 183) is a good way to send video (NB: Please only do this if it is safe to do so, & doesn’t cause your pet distress - i.e. try to capture it as it happens, rather than set it up to occur). Maximum single video length: 90 seconds please. (Please let me know when they have been sent.) *

I will do this ASAP/this week

How much & what type of daily exercise does your pet get (For DOGS: this includes on/off property & self-directed +/-human-accompanied walks. For CATS: this includes 1. whether they are indoor/outdoor; 2. how much/what type of activity they do per 24/hours; & 3. when they are most/least active): *

What is your pet’s normal night-time activity level (sleeping, restless, active, isolated, with you, etc.)? *

Please provide details about additional pets (species, breed, sex/neutered, age, length of time known to your above-named pet):

Please share three things that you like about your pet & that you enjoy about your bond with this pet: *

In general, how much time does your pet spend alone at home? (Average daily time alone? Average weekly time alone?) *

Regarding any changes in behaviour towards unknown people, or anything of note, or concern, please describe: *

Your pet's name: *

Where was your pet acquired from? *

Briefly describe a typical day for your pet (e.g. exercise, feeding routine, time spent alone, training +/- play time, human interactions, other pet interactions, down time, etc.): *

In general, how does your pet respond to new situations, +/- objects? Please describe: *

If yes, please provide details of the training, trainer/behaviourist name, location & approx. dates: *

If your pet is DOG, what type of equipment does s/he wear, e.g. for exercising/training - flat collar, no-pull harness, other? (Why do you choose this equipment?) *

In general, how does your pet respond to sound? (Please consider their reaction to noises within the home; outside; unexpected noises; loud noises) *

Your occupation: *

Do you/the family predict any upcoming life, routine +/- are any household or home changes predicted (please give details)? *

How does your above-named pet interaction with KNOWN people? *

Friendly (approaches/interacts)

Neutral (ignores)

Unfriendly (avoids/antagonises)

Any changes (please describe in the box below)

Optional: Would you like to upload any additional images of your pet's areas, problematic home spaces, behaviours or interactions? In which case, please do so here. (Videos to be sent separately via WhatsApp or WeTransfer please)

Does your pet ever steal, cache or guard items? *

How does your pet respond to people +/- animals approaching or passing the home? *

How often does the behaviour in question occur? *

In interactions with other pets outside the home/UNKNOWN animals, how does your pet behave? *

Friendly (approaches/interacts)

Neutral (ignores)

Unfriendly (avoids/antagonises)

Any changes (please describe in the box below)

In general, regarding human-pet interactions: typically, who approaches who? Typically, how long to interactions last? Who tends to end affectionate interactions? (You or your pet?) Does your pet welcome affection? Do you think they enjoy it? Tolerate it? Dislike it? *

If your pet is a DOG, do they pull on the lead? (Always, sometimes, never - when/when not?) Please describe: *

What particular concerns do you have about your pet's behaviour? *

Do you think your pet has pain, or reason to experience pain? *

How many children (under 18) live in/regularly visit your home? What are their ages? *

What games do you play with your pet? (E.g. Fetch or catching objects? Tug? Chase Me? Wrestling & play-fighting? All/none of these? Other?) Please describe: *

Your 'phone number(s): *

Optional: Would you like to upload any additional images of your pet's areas, problematic home spaces, behaviours or interactions? In which case, please do so here. (Videos to be sent separately via WhatsApp or WeTransfer please)

What type/brand of food do you feed your pet? *

How does your pet react to people who enter your home? *

Your full address, including post code: *

Is your pet insured? Which company are they insured with? *

In just a few words, how would you describe your pet's personality? *

Is your insured to cover for 3rd party/public liability? (NB: this is highly recommended for ALL dogs) *

Yes

No

How do human family members show affection towards your pet? *

Is your pet fully vaccinated against infectious diseases? *

Optional: Would you like to upload any additional images of your pet's areas, problematic home spaces, behaviours or interactions? In which case, please do so here. (Videos to be sent separately via WhatsApp or WeTransfer please)

Does your pet enjoy car travel? Do they seem anxious? Do they settle? Pace +/- pant? Vomit +/- toilet? Other comments/concerns related to travel/transport - please describe: *

If your pet has health insurance, does this policy include cover for behavioural treatment? *

Yes

No

N/A - my pet is not covered by health insurance

What is your pet’s current state of health? *

Is your pet routinely treated with veterinary-prescribed parasite prevention? Product name(s) & approx. date of last treatment? *

When at play, is your pet active, excited, frenzied, calm, reluctant, other? (Do you have any questions or concerns regarding your pet's play?) Please describe: *

What does your pet normally eat from: *

Hand feed

Enrichment or puzzle toy(s)

Food Bowl

Sprinkles

Other (please add details in the "treats" box, below)

When does the behaviour in question occur? *

Have you/the family or household had any recent/current life, routine +/- home changes (please give details)? *

Does your vet know about any bite/injury these human-directed incidents? *

Yes

No

Your pet's gender: *

Have there been any changes in how your pet plays? Please describe: *

Please provide a simple/basic house plan/layout, marking all your pet’s resources: including water, food, sleeping/resting places, hiding places: locations of other pets; doorways & windows; +/- any areas the home/garden that problem behaviours occur. For CATS please mark locations of scratch poles, litter trays, cat flaps/home entry or exit points. NB: this can be done free-hand, digitally or transcribed onto a copy of your existing house plan/plot, & uploaded here - it does not have to be a “work of art”, or to scale! (Example included at the bottom of this form [1].) Feel free to also attach relevant & useful ‘photos of resources/your pet’s areas, +/- problem locations, if helpful (options to do this are included at the end of this form). *

Approximately, when did you first become aware of this problem? And how long has it been going on for? *

Of the things you have tried to deal with the behaviour in question, a) what has worked? & b) what has not worked? *

What is the approximate date of your pet's last vet visit? What was the reason for this vet visit? *

Is your pet crate trained? If yes, please describe how your pet responds to the crate: e.g., relaxed, reluctant, upset, etc. *

Please share any additional information you think we should know about you & your pet(s). Please also detail any questions or concerns which you would like to draw particular attention to, or to focus on when we meet: *

Does your pet react differently to certain types of people: e.g., toddlers, men, etc. *

What history & details do you know of your pet’s life prior to adoption? (E.g. breeding/rearing environment, shelter/rescue, mother & siblings’ temperaments, types of human interactions, interactions with other animals, etc.?) *

Where does your pet rest when you are home? Does your pet rest well there? *

What factors influenced your choice of trainer? (e.g. qualifications/experience, recommendation, location, price, online presence [website/social media], services offered, other) *

Where did you find out/hear about Inspiring Pet Teaching? *

I/We confirm that I/we will proceed directly to pay my fees (as laid out in the Booking Confirmation Email) by BACs, & - in the case of behaviour cases - to arrange my veterinary referral [3] *

Yes

Who instigates play - you/your pet? (Both/neither?) *

Has your pet had a behaviour consultation before, +/- previously participated in private lessons or training classes? *

How much sleep would you estimate your pets gets, per 24 hours? *

Has your above-named pet ever bitten or injured another animal(s)? If yes, please describe: *

How would you describe the current status of your/the family's relationship(s) with your pet? (e.g. is it good, are you bonded, angry, frustrated, etc.…?) *

Does your pet have any current, ongoing, or past health conditions? *

Yes

No

Why did you choose this individual animal? *

Please describe your pet’s reaction to being left alone: *

How does your pet behave at the veterinary clinic? Has this changed? *

Did you discuss training/behaviour with your vet? *

Yes

No

In interactions with UNKNOWN people - inside & outside the home, how does your pet behave? (Please be as descriptive as possible): *

Friendly (approaches/interacts)

Neutral (ignores)

Unfriendly (avoids/antagonises)

Any changes (please detail in the box below)

Is there anything you would like to share about your own physical abilities that would help Inspiring Pet Teaching to ensure your comfort or safety, & to optimise your success whilst training with your pet? Do you have any special requirements? (Please include details of any foodstuffs we may be using for training which anyone in the house is allergic to, e.g. peanut butter) *

Are you seeking help for a perceived training or behavioural problem (please see our FAQs for further details on how to know this)? *

Behaviour/remedial (e.g. emotional problems, veterinary referral, problem behaviour)

Training/preventive (e.g. puppy or kitten socialisation, trouble-shooting, manners/life skills)

I am unsure, so will provide further information below, so that Inspiring Pet Teaching can ascertain the nature of my query/concern

Optional: Would you like to upload any additional images of your pet's areas, problematic home spaces, behaviours or interactions? In which case, please do so here. (Videos to be sent separately via WhatsApp or WeTransfer please)

Is your pet housetrained (or litter trained)? Does your pet toilet inappropriately in the home? Please describe: *

What methods were used (e.g. rewards, clicker, punishment, mixed, don’t know): *

The approximate date or age you acquired or adopted your pet at: *

Are there children in the home, &/or do children visit? *

Yes

No

From the time you first noticed this problem (or your query began), how has it developed/changed? (Better? Worse? The same? Intermittent?) *

Does anything make the behaviour in question WORSE? (Or better?) *

Have there been any recent changes to your pet's health or ability? *

In general, have your pet’s routines changed recently? When & how? Who instigated any changes (you/your pet)? *

How often to you play with your pet? *

Regarding toileting habits & routines, have there been any recent changes (e.g. frequency, consistency, effort/ability, other)? Please describe: *

Has your pet ever bitten or injured anyone? If yes, describe in detail: *

Other than that described above, have there been any other recent changes to your pet’s behaviour? *

Optional: Would you like to upload any additional images of your pet's areas, problematic home spaces, behaviours or interactions? In which case, please do so here. (Videos to be sent separately via WhatsApp or WeTransfer please)

Does your vet know about any bite/injury these animal-directed incidents? *

Yes

No

Has your above-named pet ever BEEN bitten or injured by another animal(s)? If yes, please describe: *

Have there been any changes to your pet’s sleep/rest patterns? *

Is there any food you would prefer your pet not to have? *

What causes it to stop? *

What type of treats do you feed your pet? And for what reason/how often? *

Does your pet come when they are called? (Always, sometimes, never - when/when not?) Please describe: *

Regarding the behaviour(s) you have questions or concerns about, would you like to add any more descriptions, comments, or specific questions/discussion points for when we meet? *

Is your pet currently on veterinary-prescribed medication? *

Yes

No

How does your pet show affection for human family members? *

Regarding interactions with other pets in the home/known animals, please tell us about anything of note - special bonds, problematic relationships, fights, any recent changes, etc.: *

Are there any problems getting into, travelling, or being left alone in the car? *

Do you give permission for Inspiring Pet Teaching’s trainer to feed your pet treats? *

Yes

No

Where does your pet stay when left alone: e.g., crate, a certain room, free run of house, etc. *

Your email address: *

If your pet is DOG, how does your pet react to people on walks/when off the home property? *

Regarding previous or existing training/“obedience” - have there been any recent changes? Please describe: *

Do they spend time actively patrolling/surveiling? If so how much? Do they seem calm, alert, upset, other? *