Contact

If you are looking for assistance then please fill in the the form below or download the forms.

You can download the Behaviour Questionnaire and email over the completed form (email below) or fill in the questionnaire below

Mobile: 07984 484921

E-Mail: info@canineassist.co.uk

Canine Assist behaviour Questionnaire
Please fill out and email a photo/scanned copy to info@canineassist.co.uk
Canine Assist - PDT-BehaviourQuestionnai[...]
Adobe Acrobat document [118.1 KB]

Client Intake and Information Gathering Form
Intake form - include Terms and Conditions
Canine Assist Intake Form- March 2021.d[...]
Microsoft Word document [74.3 KB]

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Behaviour Questionnaire

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Name: *

E-mail address: *

Telephone *

Sensitive around other dogs (Reactivity)

Nervous Around People

Barks/Lunges

Separation Problems

Noise Struggles

Resource Guarding

General Message *

Dogs Details - Age, Breed, Gender, Neutered/Spayed *

Current Training Level (i.e. Puppy Class, Basic Training, Agility etc)

Main Area of Struggle

Current Level of Activity (walks/exercise etc)

Current amount of activity (time per day - walking, training, playing etc)

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For General Enquiry can also contact us directly by using the form below:

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Contact

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Canine Assist

Nominated Charity