Please mail this form to:
TTEAM & TTouch Training
1713 State Rd 502
Santa Fe, New Mexico 87506
You may also FAX this form to:
505-455-7233
If you have any questions, please call our office at:
505-455-2945

Tellington TTouch Training
Animal Profile Form - Dogs

Workshop Information:

Date: ________________________ Location: _______________________________

Owner/Guardian Information:

Name :______________________________________________________________
Address: ____________________________________________________________
___________________________________________________________________
Phone: ____________________________ FAX: ____________________________
Email: ______________________________________________________________

Animal's Information:

Name: _____________________________________________________________
Breed/Type: ________________________________ Age: ___________________
Weight: _____________ Sex: _____________ Spayed/Neutered? ____________

General:

Where did you get your animal (e.g. breeder, pet shop, shelter, friend, etc.)?
___________________________________________________________________
How long have had him/her?
___________________________________________________________________
What do you particularly like/love about your dog?
___________________________________________________________________
___________________________________________________________________
How would you describe your dog's personality? (e.g. eager to please, enthusiastic, nervous, temperamental, friendly, quiet, aloof, shy, timid etc.)
___________________________________________________________________
___________________________________________________________________
What do you know about your animal's life before he/she came to live with you?
___________________________________________________________________
___________________________________________________________________
How does your animal usually respond people he/she doesn't know?
___________________________________________________________________
___________________________________________________________________
How does your animal usually respond to dogs he/she doesn't know?
___________________________________________________________________
___________________________________________________________________
How does your animal usually respond in unfamiliar situations or places?
___________________________________________________________________
___________________________________________________________________
What type of activities is your dog involved in? (e.g. agility, flyball, tracking, obedience etc.)
___________________________________________________________________
___________________________________________________________________ What kind of training has your dog had? Did you do the training or did someone else?
___________________________________________________________________

Living Environment:

Describe your animal's living environment (housing, companions etc.)
___________________________________________________________________
How much exercise does your dog get?
___________________________________________________________________
Does your dog spend time playing with other dogs?
___________________________________________________________________
How much time does your dog spend alone and where does he/she spend that time?
___________________________________________________________________

Behaviors:

Does your dog have some behavior that you wish was different? (e.g. growling, barking, lunging, biting, chewing (on what?), digging, jumping up, pulling, licking, running away, inappropriate urination, separation anxiety, hyperactivity, reactivity to cats, vehicles/machinery etc.) 
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
What does he/she do, and when? (please be as clear as possible about circumstances under which your animal exhibits the behavior)
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
What bothers you the most?
___________________________________________________________________
What have you done, if anything, to change the behavior? Has it helped?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Are you usually comfortable about handling your dog in all circumstances? (please clarify)
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Fears:

What fears does your dog have, if any? (e.g. loud noises, new environment, veterinarian, thunder storms, slippery surfaces, grooming, nail clipping, strangers, bicycles, skateboards, etc.) 
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
How does your dog demonstrate his/her fear?(please be as specific as possible about the observed behaviors and reactions) 
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
What have you done, if anything, to change these fears? Has it helped?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
How do you usually deal with your dog's fears?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Health:

Please describe your dog's health and any health concerns you may have: (e.g. aging, arthritis (where?), car sickness, dysplasia, stress, allergies (symptoms?), disease, injury or surgery (when and what?))
___________________________________________________________________
___________________________________________________________________
Please list vaccination history, if applicable (can be important in understanding some health or behavioral changes)
___________________________________________________________________
___________________________________________________________________
Is your animal currently under the care of a veterinarian? What for? Is he/she on any medication?
___________________________________________________________________
___________________________________________________________________

Other comments:

What are your goals for bringing your dog to this training?
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Other comments or items of note:
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Signature:

(Owner)_____________________________________________________________