Puppy Raising Monthly Report

* Indicates required field

Date *

Puppy Raiser Name *

First

Last

Puppy Name *

Month *

Email *

Would you like to speak to someone from the puppy program? *

Yes No

Age and Gender *

Microchip Number *

ID Tag Number *

Brand of Dog Food and Total Cups Per Day. *

Weight *

Choose One *

Intact Neutered

Are you using flea/tick control? *

Yes No

Are you giving giving heart worm medication? *

Yes No

Has the puppy seen a veterinarian for a medical problem? *

Yes No

Has your puppy been boarded at a kennel for any reason? *

Yes No

If applicable, please list first and last day of heat cycles. *

Please check grooming procedures. *

Brush Coat Clean Ears Clip Nails Brush Nails

Bath: Date(s) *

Are you using a gentle leader/sensation harness? *

Yes No

Are you using something other than kibble to reward behavior? *

Yes No

Number of puppy classes attended this month, Training Center *

Socialization (include date and activity) *

Is the puppy sleeping in the crate at night? *

Yes No

Does the toilet on leash on command? *

Yes No

On any surface? *

Yes No

Frequency *

Distracted: *

By People By Dogs Or Other Animals By Moving Objects By Food

Frequency *

Jumping *

On People On Furniture

Frequency *

Cape/Gentle Leader *

Rubs/Paws Won't move while wearing Other

Frequency *

Excitable Greetings *

Familiar People Unfamiliar People Dogs Other

Frequency *

Leash Behaviors *

Frequency *

Chasing *

Small Animals Leaves Tail Other

Frequency *

Mounts *

People Dogs Bedding or other items

Frequency *

Chewing *

Inappropriate Items Destroys Toys Leaves, Grass, Twigs

Frequency *

Protects *

Food or Toys from humans Food, Toys, or Beds from dogs Home or Yard

Frequency *

Running Away *

When nervous or afraid Plays keep away

Frequency *

Surfaces *

Avoids Grates Avoids Slick Floors Avoids Stairs

Frequency *

Digging *

In Yard In Crate

Frequency *

Please describe what you are doing to correct the behavior(s) and if you are seeing progress? *

Please describe and additonal comments or concerns about your Freedom Paws puppy. *