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BEHAVIOR MODIFICATION HISTORY FORM

Please fill out the following to the best of your ability. The more information you are able to give us that pertains to your dog, the better we will be able to help you.

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= mandatory field
DOG INFORMATION (CONT.)
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SELECT THE TYPE OF TRAINING YOUR DOG HAS HAD:

HOW OLD WAS THE DOG WHEN TRAINING STARTED? (MONTHS)

WHO TOOK THE DOG TO TRAINING?

HOW DID THE DOG DO IN TRAINING?

HAS DOG EARNED ANY OBEDIENCE TITLES?

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HOW WELL DOES YOUR DOG DO WITH THE FOLLOWING CUES:

SIT

STAY

DOWN

WAIT

HEEL

FETCH

LEAVE IT

TAKE IT

OTHER

TRAINING HISTORY

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