Form – Barky HQ

01

Owner details

Tell us who we are speaking with and how you would prefer us to contact you.

Full name *

Email *

Telephone number *

Postcode *

Preferred method of contact *

Telephone Email WhatsApp

Please select a preferred contact method.

Shopify order number Optional

Emergency contact name Optional

Emergency contact telephone Optional

02

Dog details

Give us a quick picture of your dog and the home they live in.

Dog’s name *

Breed or type *

Age *

Date of birth Optional

Sex *

Male Female

Please choose an option.

Neutered or entire *

Neutered / spayed Entire Unsure

Please choose an option.

How long have you owned them? *

Where did they come from?

Other dogs or animals in the home?

Adults or children in the home?

03

Health and routine

Health, pain, sleep, food, exercise and routine can all affect behaviour.

04

What do you need help with?

Select every option that applies. Additional questions appear only where needed.

05

A little more detail

You are only seeing these questions because of the concerns selected.

06

Training history and goals

Tell us what has already been tried and what you most want daily life to look like.

What training have you previously tried?

Have you worked with another trainer?

What methods or equipment were used?

What improved?

What became worse?

What would a successful outcome look like? *

Main priority 1 *

Main priority 2

Main priority 3

Is everyone in the household willing to follow the programme? *

YesMostlyNo / unsure

Please choose an option.

07

Photos, videos and veterinary information

Shopify’s standard contact form cannot receive file attachments. Add private share links below where relevant.

Keep links private. You can use Google Drive, Dropbox, iCloud or another secure sharing service. Make sure Barky HQ has permission to view the files.

Recent photograph link Optional

Behaviour video link(s) Optional

Veterinary information link Optional

08

Final declarations

Please confirm each statement before sending the form.

The information I have provided is accurate to the best of my knowledge. I understand that completing this form does not guarantee a particular training outcome. I understand Barky HQ may contact my vet only when I separately provide permission. I have read the privacy notice. I agree to be contacted by Barky HQ about my assessment and training enquiry.

Please confirm every declaration.

Anything else Barky HQ should know? Optional

Help us understand your dog.

Owner details

Dog details

Health and routine

What do you need help with?

A little more detail

Bite history

Dog reactivity

Training history and goals

Photos, videos and veterinary information

Final declarations

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