SAFE K-9S, INC.
Keeping dogs safe, happy, at home, and out of shelters.
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Home
Evaluation
Training Aides
Links
Contact Us
Welcome to our Evaluation Page. In order to make this an effective process, we ask that you answer all questions to the best of your ability, and be as detailed as possible. Make sure to leave your telephone number if you wish to be contacted by phone. YOUR INFORMATION WILL ONLY BE USED TO COMPLETE AN EVALUATION, AND FOR NO OTHER PURPOSES OR SOLICITATIONS.
The field marked with (*) are required fields.
*
First Name
*
Last Name
Address Line 1
Address Line 2
*
City
*
State
Zip Postal Code
Telephone Number
*
Email Address
Dog's Name
*
Breed
*
Age
*
Gender
M
F
*
Spayed/Neutered
Yes
No
*
Veterinarian/Clinic
*
Is your dog on any medication?
Yes
No
If yes, please explain
How long have you owned this dog?
*
Where did you obtain this dog?
[Select One]
Animal Shelter
Breeder
Pet Store
Ad in paper
Friend or Relative
Found
Other
*
Where is this dog kept?
[Select One]
In house loose
In house crated
In fenced in yard
In dog pen
Underground fence
Tied outside
Other
*
Has this dog ever shown aggression to a person?
Yes
No
If yes, please explain
*
Has this dog ever shown aggression to another dog?
Yes
No
If yes, please explain
How would you describe this dog's personality and temperament?
*
What bad habits does this dog have?
What commands does this dog respond to? Please check all that apply.
Come
Sit
Down
Heel
Stand
Stay
Wait
No
Leave it
Let's go
Fetch
Focus
Drop it/Give
Other, not listed here
How often will this dog come when you call?
[Select One]
90% or more
75%
50%
25% or less
*
Has this dog had any prior obedience training?
Yes
No
How much and where
What activities do you and this dog enjoy?
*
Please give us a description of what SAFE K-9S can help you with.
*
How did you hear about SAFE K-9S?
