Reactivity Class Intake Form

Owner Name(Required)

First Last

Email(Required)

Phone(Required)

Name, Age, Weight & Breed of Dog(Required)

Is your dog altered or intact?(Required)

Neutered

Spayed

Intact

Does your dog have any allergies. If so, to what?(Required)

How likely is your dog experiencing physical pain or discomfort?(Required)

Likely, they have a daily/chronic condition

Possibly

Unknown

Unlikely, they were just checked by a vet

Yes, but they are on pain management

If you answered Yes, Possibly or Likely, please give more information.(Required)

Brief timeline of dog's major life events (medical procedures, health issues, relocation, pet or human absences, ect)(Required)

Describe your dog's typical day

Your dog at home (Check all that apply)(Required)

Treat/ food motivated

Picky eater

Wont take treats

Toy driven

Strong prey drive

Curious/ like to explore

Cuddly

Stand-offish

Playful

Alerts (barks or otherwise reacts) to movement and stimuli outside windows (when inside)

Alerts (barks or otherwise reacts) to movement and stimuli outside of yard (when outside)

Guards food, toys, beds, locations, or people

Prefers to be alone

Prefers to be with people

Prefers to be with other household pets

Easily excited

Skittish

Confident

Your dog outside the home (Check all that apply)(Required)

Treat/ food motivated

Picky eater

Wont take treats

Toy driven

Strong prey drive

Curious/ like to explore

Cuddly

Stand-offish

Playful

Alerts (barks or otherwise reacts) to movement and stimuli outside windows (when inside)

Alerts (barks or otherwise reacts) to movement and stimuli outside of yard (when outside)

Guards food, toys, beds, locations, or people

Hesitant

Has good leash manners

Has good leash manners except when around triggers

Pulls on leash

Doesn't like going outside the home

Walks and being outside is unpleasant

Easily excited

Skittish

Confident

Does better with other household pets present

Other

Your dog around people (Check all that apply)(Required)

Loves all people

Ok with all people, if people ignore them

Scared of all people

Only scared of certain people

Love people they know

Ok with people they know, if people ignore them

Scared of people they know

Only scared of certain people they know

Loves strangers

Ok with strangers, if people ignore them

Scared of all strangers

Only scared of certain strangers

Other

Your dog around dogs (Check all that apply)(Required)

Loves all dogs

Ok with all dogs, if dogs leave them alone

Scared of all dogs

Only scared of certain dogs

Love dogs they know

Ok with dogs they know, if dogs leave them alone

Scared of dogs they know

Only scared of certain dogs they know

Loves new dogs

Ok with new dogs, if dogs leave them alone

Scared of all new dogs

Only scared of certain new dogs

Other

What does your dog react to? (Check all that apply)(Required)

I don't know

Dogs

People

Other animals in the environment

Sudden movements or other stimuli in the environment

Noises of unknown origin (Normal apartment complex sounds or dogs/ people they cant see)

Metal clanging noises

Moving vehicles or personal transportation

New objects in their environment

Light or shadows

Specific, identifiable thing or person (that specific box compared to all boxes)

Everything

Other

What does your dog do when they see the thing(s) they react to? (Check all that apply)(Required)

Bark

Growl

Air snaps

Wrinkles muzzle

Shows teeth

Lunge/ pull towards

Freezes/ slow stiff movement

Get's low

Focuses on stimuli while moving backward (away)

Avoiding and or pulling away from stimuli

Place themselves between owner and stimuli

Other

When your dog shows reactive behavior how does their body look (mark all that apply).(Required)

Extremely stiff, rigid body, leaning away

Extremely stiff, rigid body, leaning toward

Stiff, rigid body, leaning away

Stiff, rigid body, leaning toward

Up and alert

Very animated, bouncing body

Lunging, head first

Lunging, front paws first

Vocal

Biting leash

Your dog displays reactive behavior when their trigger is...(Required)

Heard but not seen

On TV

Outside your car

On the other side of a fence

Outside of window (Close to house)

Outside of window (Far from house/ across the street)

Going past when your dog is in the yard

Closer than 6ft when on a leashed walk

Closer than 10ft when on a leashed walk

Closer than 20ft when on a leashed walk

On the same side of the street

On the other side of the street

If your dog sees them at all

At a high energy place or in a high energy situation

Near a resource your dog values

Appearing during a busy, stressful day

Appearing in a surprising way

Appearing when they are sleeping

I don't know/ It varies

If a dog treat, bully stick or piece of pizza fell on the floor how would your dog react (mark all that apply):(Required)

They would eat it as fast as they could

They would look at you

They would growl toward a dog if near

They would growl toward a person if near

They would grab it and hold a stiff body position

They would bite any dog or hand moving near them

They would grab it and run away

They would stand over it in a stiff manner

They would carry it in their mouth toward you

They would be so happy and wiggly

They would start running around the room

After eating it, they would start to search for more food

After eating it they would start to beg for food

Has your dog ever gone after and or bitten a person? If yes, please leave detailed description of the event(s) and resulting injury(s)

Has your dog ever gotten in a fight and or bitten another dog. If yes, please leaved detailed description of event(s) and resulting injury(s)

What timeline best describes your dog's reactive behavior?

Their behavior suddenly changed

Their behavior changed after a particular situation, moment or timeframe

Their unwanted behavior has increased steadily until it has become unmanageable

They have always acted this way, but now it is not appropriate

The unwanted behavior has been happening for a long time and the different training methods I have used only pause it temporarily, have no effect or seem to increase it

Is your dog currently experiencing any health problems? If yes, what are they experiencing?

What strategies have you used to manage or work on reactive behavior?

Is your dog currently on any medications? If yes, what are they taking and why?

Your dog's sleeping habits consist of (mark all that apply):(Required)

They sleep over 75% of the day

They sleep over 50% of the day

They sleep only at night

They sleep only during the day

They are too busy to sleep during the day

They take naps throughout the day

They have a quiet spot in the house to sleep

They are often woken up by busy house noise

They are often woken up by their trigger noises

Their sleep routine has changed recently

They appear to have difficulty finding a comfortable spot to sleep

They have specific habits for falling asleep

They don't like being woken up

They will lash out when touched in a sleeping state

They sleep in many spots throughout the house

What else would you like us to know about your dog?(Required)

West Seattle Wonder Dogs

6040 California Ave. SW
West Seattle, WA 98136

(206) 472-2946

info@westseattlewonderdogs.com

Hours of Operation

Monday
2:30 pm – 8:00 pm

Tuesday and Thursday
8:00 am – 12:00 pm & 2:30 pm – 8:00 pm

Wednesday
3:00 pm – 8:00 pm

Friday
2:30 pm – 8:00 pm

Saturday
8:30 am – 3:30 pm

Sunday
8:30 am – 5:00 pm

Frequently Asked Questions

General
Private Training
Puppy Training
Wonder Puppy Class
Adult Dog Training
Day Camp at Unleashed

How/Where do I create a Paw Partner profile?

If you go to the homepage of our website (westseattlewonderdogs.com), you can click on “Create a profile here” and it will direct you to the Paw Partner portal where you can sign up.

How do I send my dog’s vet records?

You can either upload them to your Paw Partner profile by logging into your account and clicking on “Upload Files” on the home page, or you can send them to info@westseattlewonderdogs.com.

How do I request a reservation?

Go to your Paw Partner profile, click the “Training” button, then “select a service”. Choose the date and time you would like and click “select this training course,” scroll to the bottom of the screen and push the “save and continue" button.

How do I purchase a package?

Go to your Paw Partner profile, go to “Package Credits” on the homepage and purchase the package you would like. You can also save a card to your file for all future purchases.

What vet records do you require?

For young puppies and teens new to play, we require records that show they are on time for all of their vaccinations (Bordetella, DHLPP, and eventually Rabies), and a recent fecal exam (within the last 30 days) that is negative for Giardia and parasites. For older puppies/dogs who are not attending play, we require records showing they have completed all of their vaccinations.

How do you clean your facility?

We vacuum and sanitize the floor inside, and we sanitize all areas where hands commonly touch. We use a broad spectrum pet/human safe disinfectant that effectively kills canine parvovirus (Parvo), canine Distemper virus, influenza viruses and most strains of salmonella and staphylococcus and other pathogenic microorganisms.

Are masks required?

No, but they are strongly recommended.

Frequently Asked Questions

General
Private Training
Puppy Training
Wonder Puppy Class
Adult Dog Training
Day Camp at Unleashed

How/Where do I create a Paw Partner profile?

If you go to the homepage of our website (westseattlewonderdogs.com), you can click on “Create a profile here” and it will direct you to the Paw Partner portal where you can sign up.

How do I send my dog’s vet records?

You can either upload them to your Paw Partner profile by logging into your account and clicking on “Upload Files” on the home page, or you can send them to info@westseattlewonderdogs.com.

How do I request a reservation?

How do I purchase a package?

Go to your Paw Partner profile, go to “Package Credits” on the homepage and purchase the package you would like. You can also save a card to your file for all future purchases.

What vet records do you require?

How do you clean your facility?

Are masks required?

No, but they are strongly recommended.