K9 Nose Work Pre-Class Questionnaire

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K9 Nose Work® Pre-Class Questionnaire

* Indicates required field

Location and Date of Class *

Please take a moment to answer to following questions about you and your dog.

If you have more than one dog, please fill out a questionnaire for each dog, though you may skip the questions that have duplicate information about your background and interests.

Handler's Name *

Dog's Name *

Breed *

Dog's Age *

Gender *

M MN F FS

Is your dog a: *

Companion Dog Performance/Sport Dog Other

If Other *

Where did you get your dog? *

Shelter Breeder Friend Pet Store Foster/Rescue Other

What age were they at that time? *

Do you have any health considerations, issues, and/or concerns for you or your dog? *

Yes No

If you answered yes, please describe: *

Have you ever competed with a dog? *

Yes No

This dog? *

Yes No

Please check any previous activities or sports you have done with your dogs. *

Agility Tracking Obedience Rally Other None

If other, please explain: *

Describe your dog's daily activity Level: *

Please check off any fears (or nervousness) and phobias your dog may have, and please describe: *

Stangers Other dogs Environment Noise Class Setting Other None

If other, please describe: *

List in order of preference your dog's favorite items to play with (does not need to be a dog specific item):

1) *

2) *

3) *

4) *

5) *

List in order of preference your dog's favorite food/treats (either for training purposes or just to eat [be specific, chicken, hot dogs, sardine, sweet potato, wrapped fish]):

1) *

2) *

3) *

4) *

5) *

How well does your dogs play with people other than you? *

What are your expectations of this class? *

What attracted you to this class? *

Submit

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