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Your name:
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Your email address:
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Your phone number:
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Section of town:
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How were you referred?
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What is your dog's Breed?
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How much does your dog weigh?
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What is your dog's age?
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What is your dog's gender?
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Is your dog nuetered or spayed?
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If you are simply interested in classes, what kind?
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What brand/type of dog food do you feed?
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Who else (people) lives in the home?
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What other pets do you have?
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Does your dog live indoors or outdoors?
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What type of fence do you have?
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Has your dog ever growled at you or a family member?
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Has your dog ever bitten anyone or another animal?
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What is the particular issue that concerns you?
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How long has this been a problem?
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