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K9 Nose Work® Pre-Class Questionnaire
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Indicates required field
Location and Date of Class
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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
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Breed
*
Dog's Age
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Gender
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M
MN
F
FS
Is your dog a:
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Companion Dog
Performance/Sport Dog
Other
If Other
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Where did you get your dog?
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Shelter
Breeder
Friend
Pet Store
Foster/Rescue
Other
What age were they at that time?
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Do you have any health considerations, issues, and/or concerns for you or your dog?
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Yes
No
If you answered yes, please describe:
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Have you ever competed with a dog?
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Yes
No
This dog?
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Yes
No
Please check any previous activities or sports you have done with your dogs.
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Agility
Tracking
Obedience
Rally
Other
None
If other, please explain:
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Describe your dog's daily activity Level:
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Please check off any fears (or nervousness) and phobias your dog may have, and please describe:
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Stangers
Other dogs
Environment
Noise
Class Setting
Other
None
If other, please describe:
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List in order of preference your dog's favorite items to play with (does not need to be a dog specific item):
1)
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2)
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3)
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4)
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5)
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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)
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2)
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3)
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4)
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5)
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How well does your dogs play with people other than you?
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What are your expectations of this class?
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What attracted you to this class?
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Submit
