Consultation Request

If you would like to request a consultation, please fill out the form below and Aftab will get back to you as soon as he can.

Name (required)
Age (required)
Breed (required)
Sex (required)
Neutered or spayed	YesNo
Age of dog when bought and from which breeder / an explanation of how you came to acquire of your dog?

Please specify the behavioural problems with which you would like help and whether these behaviours have worsened over time, remained the same or improved:

Is your dog likely to do any of the following:
Jump onto furniture Oftenoccasionallynever
Jump up at people Oftenoccasionallynever
Bark at people Oftenoccasionallynever
Whine Oftenoccasionallynever
Chew furniture Oftenoccasionallynever
Fight with other dogs Oftenoccasionallynever
Scratch at carpets or doors Oftenoccasionallynever
Ignore recall Oftenoccasionallynever
Possessive or protective Oftenoccasionallynever
Does your dog have any fears or phobias? YesNo	If Yes, please give details
Is your dog aggressive towards people? YesNo	If Yes, please give details
Has your dog ever been bitten or attacked by another dog? YesNo	If Yes, please give details
Do you consider your dog as being well socialised? YesNo
Does your dog suffer from separation anxiety? YesNo

Please write the words that your dog understands:

Does your dog fully respond to an instruction to “Leave or Leave it”?
YesNo

If you use anything other than a lead and collar to walk your dog, please specify:

Please set out details of any other training equipment used by you:

Is your dog crate trained (will happily go to his/her own crate)?
YesNo

Is your dog toilet trained?
YesNo

What, when, how much and how often do you feed your dog?

How many times a day walked and approximate timings?

Approximate mileage walked?

Where does your dog normally sleep?

Are there any other pets in the house and if so, please list

What motivates your dog? E.g. a particular food, a particular toy etc.

Have you ever used the services of a dog behaviourist before? YesNo	If Yes, please give details
Does your dog have any medical issues or special needs that we should know about? YesNo	If Yes, please give details
Is your dog a potential danger to any other animal or person? YesNo	If Yes, please give details

Please note fees should be settled prior to the date of consultation:

Bank: Lloyds
Acc. Name: Aftab Ahmed
Acc. No.: 00051442
Sort Code: 30 91 83

Consultation request