Monthly Report Date * MM DD YYYY Report is for * January February March April May June July August September October November December Name * First Name Last Name Email * Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Dog * For PTSD and Autism Clients only: Are you still attending therapy sessions? If so, how frequently do you attend? Dog's Weight (please enter number) * Please list the places you have taken your dog this month. * Are any places listed above a new place you have been with your dog? (please indicate which places) Are you having issues with your dog?(eg. pulling, lunging, jumping,barking, whining) * Have there been any changes in your lifestyle? (eg. with children, school environment, routine, health) * Are you having trouble maintaining a proper meet and greet? If so, please explain. * Describe a situation where you have used classical conditioning to help your dog this month. * If you have left your dog home alone, please explain how long, how often, and if (s)he had any issues. * What food is (s)he on and how much? * What treats are you using? * Is your dog on any supplements? * What monthly meds is your dog receiving? * Are you cutting his/her nails? * Any concerns with your dog's ears, teeth, skin, stools? * Has your dog had any health issues or visited the vet this month? If yes, please describe. * Please describe your dog's exercise routine including play dates, off leash e exercise, walks. * What skills provide you the most benefit? * Have you taught any new skills to your dog? * Please share a recent experience where your dog was invaluable. * If you have new emergency contacts for yourself and/or dog, please list below. Thank you for your report!
