PET DEGREE DOG TRAINING Survey FORM

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Class Name:		Start Date:
Full Name of Handler:
Street:		City:
State:		Zip Code:
Home Phone:		Work Phone:
Email Address:
Dog's Name:		Breed:
Color:		Sex:	Male Female
Spayed/Neutured:	Yes No
Age:		Age Obtained:
Obtained From:
Owned a Dog Before:	Yes No
What Kind:
Trained a dog before:	Yes No
What do you wish to accomplish?
How much time can you spend working with your dog everyday?
Do you have any hearing or physical handicaps?
What king of food does your dog eat?	(State exact brand)
Veterinarian:
How did you her about us?