We pledge to do OUR BEST to help you with your dog problems!!

 

 

 

Kyleewood Kennels

 

                                                • Youngstown,  Ohio

  

behavior modification form

 

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This page (the send part of the form.)  is temporarily not working. If you would like to send this information to me simply answer the questions and number them.  Email them to woobear98@yahoo.com,  info@kyleewood.com or kyleewoodkennels@gmail.com .  Thank you for your patience. 

 The charge for one Training and Behavior Modification Form Submission  is $30.00.  This includes the submission of this form  with a short follow up if further explanation is required by Kyleewood Kennels.  It also includes three sessions after submission and if needed a phone session.  Now you can receive help with your canine problems at any time of the day or night when it is convenient to you.  We can assure you that we will do our best to help you solve your training issue or behavior problem.

 

To help us understand and address your specific dog problem, please fill out the following information and follow up with one question or behavior problem you would like to correct.  You will have three separate sessions to be instructed in solving your dog's problem.  The three question and answer session begin AFTER submission of this form.  If after three Q and A sessions you are in need of help, if agreeable to you, I will phone you to assure you understand the instruction you have received.  To purchase your training and behavior modification sessions, use the "BUY NOW" button above.  After purchasing your sessions complete the form below.  Use the SUBMIT button located at the bottom of the page  to send your completed form to Kyleewood Kennels and begin to correct your dog problem!     Please feel free to email us at woobear98@yahoo.com if you have any questions in regard to this form.

Name:
Address:
City:
State:
Zip:
Email:
Date:

Number of adults living in the household?
Number and ages of children living in the household? (e.g. 2 (12, 14))
Name, breed and age of dog you are seeking advice and help for?
Does the dog live in the home or outside?
Please list the number, age, sex and breed of all dogs living in your household if more than the single dog you're inquiring about:
How old was the dog when you brought it home to live with your family?
Did you get the dog from a private breeder, shelter, kennel or other? If other, please specify:
How Long have you had the dog or puppy?
Is the dog a female or a male?
Female
Male
When was the dog's last veterinary checkup?
Is the dog spayed or neutered?
Yes
No
Who is the main caretaker of the dog in the home?
Do all adults in the household work full-time? Is someone home with the dog most of the time? Please specify:
Has the dog had any obedience training?
Yes
No
If the above answer was yes, please specify the kind of training:
Do you currently use a choke-type training collar on your dog?
Yes
No
How many training courses has your dog completed?
If you live in a residence, is the yard fenced in? If so, list the type of fence used. (including radio fence type)
Has the dog bitten anyone in it's immediate family? If so, please specify:
Has the dog bitten anyone other than family members? If so, please give a short explanation:
Do you have a crate or carrier for your dog? If so, how often and when is it used?
Please give an explanation of the problem behavior you are experiencing with your dog, and what you would like to change. Be as specific as possible. Feel free to add additional lines or email if more space is required. Please limit this to one behavior problem. This is the first of three sessions given per behavior problem.
 

 

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