Training Class Questionnaire – Basic

Pat Miller, CBCC-KA, CPDT-KA
17816 Spielman Rd.
Fairplay, MD 21733 /


Please bring proof of current rabies vaccination (for dogs 16 weeks and above) and DHLPP (or the equivalent- all dogs). We will accept titers for the DHLPP (not rabies) with a note for your veterinarian stating that in his/her opinion the dog is adequately protected. We do not  require bordatella (kennel cough).


Training Class Questionnaire - Basic
Dog's Name
Dog's Age
Dog's Breed or mix of?
Is your dog?
1. Check all that you feel apply to your dog:
2. What are your training goals? What activities would you and your dog like to participate in? (such as hiking, playing frisbee, Pet Assisted Therapy, learning tricks, herding, or ??
3. What do you hope to accomplish with your dog in this class?
4. What do you hope to accomplish in the next 12 months?
5. How many and which family members (list ages of children, please) do you expect to attend the class?
6. Has your dog ever acted aggressively with another dog? If so, explain.
7. Has your dog ever acted aggressively with a human? If so, explain.
9. Does your dog have any medical/physical conditions? if so, please describe.
10. What do you like best about your dog? Is there anything else you would like us to know?


Thank you and Welcome to Peaceable Paws.