Behaviorist
or Trainer Questionnaire
Date today:
FullName:
Company Name if any:
Your Title:
Address:
_____________________________________________
City:
ST:
Zip:
Phone:
Fax:
Email:
Web site:
1.
How many years
have you been paid
for working in this field?
2.
Approximately how
many paid hours per week do
you currently work?
3.
Do you offer
in-home visits? If
yes, how many per month do
you average?
4.
What do you charge $/hr rate
for in-home private training visits?
5.
Do you
work with any Veterinary
Hospitals? If so,
please list 1 acceptable to
call as a reference, give
the phone #, and indicate with
whom to speak.
6.
Who are the trainers
or behaviorists who most
influenced your training?
7.
How would you
describe your training
philosophy?
8.
Please list academic
degrees or other
certification achieved relative to training or
pet behavior modification.
9.
Please list any
associations or clubs to
which you currently belong.
10.
Please list any
obedience titles you
completed with your own dogs.
11.
List any books,
articles or columns you have
published.
12.
Working with a
veterinary behavior
consultant, would you be
willing to be involved in a
case involving an
aggressive
dog or cat?
13.
Within the field of
training and behavior,
please list any special
interests or favorite type
of cases?
14.
Do you offer FELINE
training, and if so, on
what behavior issues?
15.
List any languages
other than English spoken
sufficiently well to do a
consult in that language?
16.
Have you ever been
cited for any felony
conviction or for animal
abuse?
17.
Do you have a
digital still or video
camera that could be used at
in-home visits? If so what
is the output format? Jpeg,
Hi-8, Dig-8 etc.
18.
Do you have email,
broadband web, and Microsoft
WORD 2000 or higher?
SERVICE SUMMARY
Please circle
any of the services you now
offer:
(Alphabetical order)
“Trick” training
Agility Training
AKC Certification (CGC
or higher)
Attack Dog Training
Basic Canine
Obedience Class
Board And Train
Canine Behavior
Problem Consultation
Canine Daycare
Cat Boarding
Certification Of
Other Dog Trainers
Clicker Training
Dog Show Obedience
Competition
Feline Behavior
Consultations |
Gentle Leader
Fitting and Intro
Human Assistance Dog
Training
In-Home Obedience
Private Training
Kitty Kindergarten
Paid Telephone
Consultation
Protection Training
Puppy Socialization
Classes
Search And Rescue
Systematic
Desensitization
Vacation Doggie Camp
Other:
_________________________
Other:
_________________________
Other:
_________________________ |
Please add
below, on back, or on an
additional page, any
comments about your training
philosophy, credentials or
any other subject that has
not been covered above.
[1]Print it out, and fax to ABN Fax # (800) 372-3706 or (preferred) email as an
attachment
BehaviorSupport@AnimalBehavior.Net
