K9 Nose Work Questionnaire

Please read everything carefully and include as much information as you can. The more you share, the better we can set you and your dog up for a successful class.

When you’re finished, click Submit at the bottom.

PLEASE NOTE: This form does not autosave. Be sure to scroll to the bottom of the page for the confirmation message after submitting so you know we’ve received it.

First name*

Last name*

Dog's Name *

Does your dog have any physical or medical condition that impose any limitations to movement or activity?*

Yes

No

Describe your dogs overall temperament.

Select all that apply*

Confident

Friendly / social

Neutral / indifferent to people and dogs

Shy / reserved

Sensitive

Independent

Handler-focused

Easily distracted

High energy

Moderate energy

Low energy

Curious / investigative

Easily overstimulated

Calm in new environments

Nervous in new environments

Confident and stable

Social but easily excited

Social and calm

Neutral / works independently

Shy but warms up

Sensitive to environment

Startles easily

Recovers quickly

Does your dog resource guard/protect/defend:

Select all that apply

Food

Toys

Space

Handler

None

What is your dog's highest value reinforcer?*

Does your dog have any food allergies?

*

Yes

No

Dodger's Paws LLC
39 California Ave.
#105,#305 & #307
Pleasanton, CA 94566

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