Training Services On-line Questionnaire
**Please allow 15 to 20 minutes to complete this questionnaire.**
The first two questions on this form are optional.  If you chose to answer them they will help Repertoire track its marketing efforts more efficiently.
1.
2.
Please take a moment to tell us how
you heard about Repertoire Animal
Training & Behavior, LLC:
If referred to us by a person, business, or other
please tell us specifically:
3. Family Demographics
Your Name*:
Occupation:
Home Phone:
 Cell Phone:
Work Phone:
 Email:
Zip*:
Street Address*:
 City, State:*
Name of
Spouse/Partner:
Occupation:
List Adults in Household and
Their Relationships to You:
No. of People in Household*:
List Children in Household,
Their Ages, and Their
Relationship to You:
List Pets in Household, Their
Type/Breed, and Their Ages:
Total No. of Pets in Household*
4. Companion Animal Information
Female
Age:
 Male
 Breed:
Dog's Name*:
Spayed/Neutered?
 Yes
 Indoor
 Outdoor
 Both
No
Primarily indoor, outdoor, or both?
Where did you get your dog?
How long have you had your dog?
Briefly describe your dog's personality:
List any known prior history of your dog:
Describe the skill you'd like your dog to learn or
the training issue that prompted you to seek
services.  If there are multiple issues please list
them in their order of importance to you:
Please click submit to send.  Repertoire will
contact you within two working days.
Private Training Consultation Questionnaire:
Training Services Intake Questionnaire
The following questionnaire should be filled out by persons who have decided to take advantage of Repertoire's
training services for their family dog.  If you do not wish to fill out this form, we will fill it out for you at the intake interview;
however, we feel it is to your advantage to complete it prior to the first consult.  Submitting this form ahead of time will save time at the
intake interview; thereby saving you money.  It also will help your Repertoire consultant be better prepared at the initial session.  

Still unsure if you should fill out this questionnaire?  For more information on our training and behavior modification services see  
What's the Process? What Can I Expect?,  or visit our Contact Us page to find out how to speak to a Repertoire representative.

Complete this form to the best of your ability.  Be as honest and detailed as possible.  The answers you provide here will help us
more clearly identify how to best approach your training need and they will become the basis for an effective training plan tailored to
meet the goals and lifestyle of your family.
Repertoire Animal Training & Behavior, LLC   Copyright 2007