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SEPARATION ANXIETY CLIENT QUESTIONNAIRE
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Name
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First
Last
Email
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Phone Number
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Address
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Line 1
Line 2
City
State
Zip Code
Country
DOGS NAME
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DOGS BREED
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DOGS AGE / DOB
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GENDER
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HOW LONG HAVE THEY LIVED WITH YOU
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WHAT MAKES YOU SUSPECT YOUR DOG HAS SEPARATION ANXIETY?
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DO YOU LEAVE YOUR DOG HOME ALONE?
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YES
NO
NEVER TRIED
IF YES HOW LONG?
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CURRENTLY WHAT HAPPENS OR WHAT DO YOU COME HOME TO?
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HOW OFTEN / HOW LONG DO YOU NEED TO LEAVE YOUR DOG ALONE - IN THE FUTURE?
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HAVE YOU DONE ANY TRAINING SO FAR TO ADDRESS THE SEPARATION ANXIETY? Please explain
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ARE YOU ABLE TO SUPEND LEAVING YOUR DOG HOME ALONE DURING THE TRAINING PROGRAM Choose One
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YES
NO
DON'T KNOW
OTHER COMMENTS
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