ForceFreePets Initial Consultation Form Please enable JavaScript in your browser to complete this form. This form is designed to help you schedule an initial behavior or training consultation with Don Hanson, PCBC-A of ForceFreePets.com. The consultation can take place in person at Green Acres Kennel Shop (1653 Union St., Bangor, ME) or online via ZOOM. I recommend you review the entire form before you start to enter the information. If your dog has not been seen by their veterinarian for your behavioral concerns, I would start there. If your veterinarian is not trained or comfortable with treating behavior, you may wish to contact Dr. Christine Calder, a Veterinary Behaviorist practicing in Maine – [ Christine D. Calder DVM DACVB, Calder Veterinary Behavior Services, https://caldervbs.com/, 207-298-4375 ] The purpose of the consultation is not only for us to get to know one another but for me to understand your needs thoroughly and for you to ask questions about how I work. We will discuss a single pet, which you will identify in the questions below. I won’t provide a detailed written behavior modification or training plan at an initial consultation, but it’s a crucial first step in our journey together. All of my training and behavior modification protocols are reward-based. As a Professional Canine Behavior Consultant (PCBC-A) accredited by the Pet Professional Accreditation Board, I have agreed, without hesitation, to comply with their ethical standards, which state that shock collars, choke collars, prong collars, or any tool or method using pain, force, or fear are inappropriate in pet training and behavior practices. This means that your pet will be treated with the utmost care and respect during our sessions. If you have used such tools or techniques in the past, I will require you to commit to stop using them if you wish to work with me. You can read our ForceFreePets ethics policies here – https://forcefreepets.com/ethics-policies/. Please complete the questions in the form below. Name *FirstLastEmail *EmailConfirm EmailPhone *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeYour dog's name and breed or mix of breeds, to the best of your knowledge. *Your dog's approximate age *How long have you had your dog? *Your dog’s sex and spay/neuter status *Does your dog have any medical conditions? If so, please describe them *Is your dog on any medications for these conditions? If so, please list them *Please list the veterinarian(s) who care for your dog. *Please indicate the due date for your dog's next Rabies vaccination. *Please indicate the due date for your dog's next Distemper vaccination. *When was your dog last tested for tick-borne diseases? *Please list any other pets and their species that live with your dog. *Please describe a typical day for your dog; what do they do, whether you are with them or not. *Please indicate if your dog has had any training (check all that apply) *Training at home by youTraining in a group class by youTraining in a private class by youTraining by someone else with you not presentNo TrainingWhat methods and tools have been used to train your dog (check all that apply) *NoneFood rewards/TreatsPraiseVerbal Corrections/PunishmentPhysical Corrections-Jerk on LeashPhysical Punishment-Choke CollarPhysical Punishment-Prong CollarPhysical Punishment-Shock/Electronic CollarHave you or anyone else ever used an electronic/shock collar on your pet? If so, please describe when and why. * Please list all behaviors (sit, down, etc.) that your pet will offer after being given a single visual or verbal cue within 5 seconds of the cue, eight times out of ten. None is an acceptable response. *Please describe the FIRST most crucial behavior & training issue you wish to discuss and indicate the timeframe in which it started. The more details you can provide, the better. *Please describe the SECOND most crucial behavior & training issue you wish to discuss and indicate the timeframe in which it started. The more details you can provide, the better. *Have you discussed these issues with your veterinarian? *Please describe any incidents where your dog exhibited threatening behavior, such as barking, lunging, growling, or snapping, in as much detail as possible. *Please describe any incidents where your dog bit someone in as much detail as possible. *If Don and I choose to work together, I agree that I will NOT use a shock, choke, or prong collar on my dog, nor will I use any other aversive that can cause pain or fear or be considered to be force or compulsion. *YesUndecidedNoWhere would you like to meet? *Via ZOOM (I can be more flexible with meeting times via ZOOM)In-Person at Green Acres Kennel ShopEither of the AboveI am available for consultations between 10 AM and 3 PM MON, TUE, and THU and occasionally on SAT at 1 PM. Please list specific dates and times when you are available to meet. I suggest ALL adult family members who live with the dog attend. *I am available for consultations between 10 AM and 3 PM MON, TUE, and THU and occasionally on SAT at 1 PM. Upon receipt of this form, I will email you at the address provided with potential meeting dates and times. Please be advised that there may be others ahead of you. Once we agree on a date and time, I will send you an electronic invoice for $30 via Stripe, which must be paid before our initial 30-minute consultation. Additional consultation fees will be $30/15 minutes. If you wish to cancel, you must do so 24 hours before our appointment to get a refund. Signature * Clear Signature Submit