About
Evaluation
Canine Fitness Programs
Aqua Treadmill
Confidence Building
Wellness Referrals
Contact
About
Evaluation
Canine Fitness Programs
Aqua Treadmill
Confidence Building
Wellness Referrals
Contact
Fit Dog New Client
Name
(Required)
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email
(Required)
Phone
(Required)
Dog Name
(Required)
Gender
(Required)
Male
Female
Spayed/Neutered
(Required)
Yes
No
Not Sure
Dog DOB or Age
(Required)
Dog Breed
(Required)
Dog Weight
(Required)
Does your dog need to lose weight?
(Required)
Yes
No
Not Sure
HEALTH & MEDICAL QUESTIONS
Current Vet Hospital
(Required)
Has your vet cleared your dog for exercise?
(Required)
Yes
No
Not Sure
Current Medications
Current Supplements
Current Diet
(Required)
Known Allergies
Has your dog had any injury in the past year?
(Required)
Yes
No
Not Sure
Explain
Has your dog had any surgery in the past year?
(Required)
Yes
No
Explain
Do you think your dog is currently in pain?
(Required)
Yes
No
Not Sure
Explain
Is your dog under the direct care of a veterinarian for any current condition?
(Required)
Yes
No
Check All That Apply:
Diabetes
High Blood Pressure
Arthritis
Pain
Cancer (current or previous)
Decreased Hearing/Vision
Heart Disease
Hypothyroidism
Cushing’s Disease
OTHER
Explain
BEHAVIOR QUESTIONS
Has your dog had any formal obedience training?
(Required)
Yes
No
Not Sure
If NO, are you interested in talking to someone about possible obedience training at our sister company Happy Tails Learning Center for Dogs?
(Required)
Yes
No
Not Sure
If YES, where was their training?
Happy Tails Learning Center for Dogs
Other
If you selected "other", where was their training? Describe the philosophies/type of training.
What Cues/Commands does your dog already know?
(Required)
Heel
Sit
Stand
Down
Stay
Back
Hand Target w/ Nose
OTHER
Check all that apply
What other cool things does your dog know?
What (if any) behavior issues do you experience with your dog:
Jumping
Mouthiness/Nipping (non-aggressive)
Pulling on the leash
Hyperactivity
Attention-Seeking Barking
Reactivity toward other dogs or humans
Other
Check all that apply
Does your dog have any fear/insecurity issues?
(Required)
Yes
No
Not Sure
Check All That Apply
My dog can often or sometimes be fearful or insecure around people.
My dog can often or sometimes be fearful or insecure around other dogs.
My dog can often or sometimes be fearful or insecure around new objects.
My dog can often or sometimes be fearful or insecure in new environments.
Does your dog every display any aggressive behavior (from mild to extreme) toward other dogs, humans or family members?
(Required)
Yes
No
Not Sure
Check All That Apply
Yes - my dog has growled at a human.
Yes - my dog has snapped at a human (did not make contact with skin)
Yes - my dog has bitten a human (from mild scrape to broken skin)
IF YES, please describe the situation where your dog felt the need to be defensive/aggressive.
FITNESS QUESTIONS
Fitness Goals
(Required)
Have Fun
Give Your Dog Something to Do
Build Muscle
Gain Cardio Endurance
Improve Body Awareness
Lose Weight
General Fitness
Increased Confidence
Increased Endorphin Activity (a happier dog!)
OTHER
(Check All that Apply)
What Services are you Most Interested in at Fit Dog?
(Required)
Cardio & Strength Training Exercises
Dryland Treadmill
Canine Water Treadmill
TPEMF Therapy for Muscle Recovery
Cold Laser - COMING SOON
1-Hour One-on-One Sessions w/ a Fit Coach
Fit Camp (Stay-for-the-Day)
Fit Camp (Overnight Stay)
Not Sure
OTHER
(Check All that Apply)
Explain
Describe what type of exercise your dog gets now (if any) and how often?
(Required)
Is your dog treat or food motivated?
(Required)
Yes
No
Not Sure
What (if any) physical limitations do you notice your dog have?
What (if any) are the current competitive sports your dog is involved in
Agility
Flyball
Obedience
Rally
Conformation
Dock Dog
Nose work
Barn Hunt
Herding
Field Trial
Weight Pull
Being the cutest dog on earth
Other
Check all that apply
Any other cool stuff they're involved in?
How did you hear about Fit dog?
Web Search
Instagram
Facebook
My Veterinary Hospital Referred Me
A Friend Referred Me
via Happy Tails Learning Center for Dogs
Other
Check all that apply
Canine Fitness Training will focus on all 5 aspects of canine total health: Strength, Flexibility, Balance, Cardiorespiratory and Mental Endurance. Canine Fitness Training is a compliment to veterinary care and is not meant to treat or diagnose. We are NOT a physical therapy or rehabilitation center so we do not work with dogs that are currently injured, in pain or recovering from surgery. Do you certify that your dog is a candidate for fitness?
(Required)
YES my dog is a candidate for fitness training and I confirm that my dog is NOT in pain and NOT recovering from injury or recent surgery
NO, my dog is NOT currently a candidate for fitness training because my dog is experiencing pain and/or recovering from injury or recent surgery
I AM NOT SURE
CAPTCHA
