Your Name *
Your Dog's Name *
Location (City, Province/State) *
Please leave this field empty.
Age of Dog *
Gender of Dog * MaleFemale
Breed Type or Mix Type *
How long have you had your dog? *
How long is your dog being left alone at the moment? *
Can you adjust your schedule so that your dog won’t have to be left alone during separation anxiety training? * YesNoMaybe
Have you spoken you your vet about your dog’s separation anxiety? * YesNo
What other training have you done to address your dog’s separation anxiety? Please outline below:
Is there anything else you think we need to know about your dog?
Please let us know how you heard of us. * ---Friend/Colleague/RelativeOnline searchFacebookDog trainerOther
If other, please specify: