HOME VISIT - East Anglia

Information Form

Name *

First Name Last Name

Address *

Address 1
Address 2
Town	County
Postcode	Country

Mobile Number *

Area Code Number

Landline Number

Area Code Number

E-mail *

Your Dog's Name *

Your Dog's DOB *

Your Dog's gender *

Male Female

Breed *

Is your dog neutered (spayed/castrated) *

Yes, before age 1 Yes, after age 1 No

Where did you acquire your Dog from? *

How long have you had your Dog? *

Please describe your Dog's general character *

What issues would you like help with? Please tick any that apply even if they are not the main issue that you need help with. *

If you have ticked "Something else" please give us more information.

Please provide us with any additional information that you feel we need to know, e.g. previous history of your dog, more details to what you would like help with etc. *

Does your dog have any medical conditions at all? If so, which ones? *

What training have you done before? If classes, what type and with what training organisation? *

What days and times would be best for you for a Home Visit? *

Where did you hear about us? *

Thank you for providing us with your information. (Your information is only used for the purpose of your Home Visit and is never passed on to a third party.)

We will contact you shortly to arrange a day and time for the Home Visit if this hasn't been arranged yet.

Additional information

A Basic Home Visit lasts approximately 2 hours and is appropriate help with general obedience and simple behaviour issues (e.g. separation anxiety, house training etc.). The cost is £75.

A Comprehensive Home Visit consists of two visits; an initial visit lasting approximately 2 hours and a follow-up visit a few weeks later lasting about 1 hour. There is also a written report for you. This type of home visit is needed for any type of aggression issues, excessive nervousness or hyperactivity, or where several issues need to be addressed. The total cost is £155.

Our Behaviourist will advise which type of home visit is appropriate to help you and your dog if you haven't already talked to us.

There may be an additional small travel charge if you are further than 12 miles from Blo' Norton. Payment (in full) needs to be made either before or during the (first) Home Visit either in cash or via BACS (please ask us for details if you'd like to do a bank transfer.)

We are looking forward to helping you and your dog.

Kind regards

Vera

WAGGING TAILS Dog Training

www.wtdt-eastanglia.co.uk