Survey - Ask A Trainer - San Diego Humane Society

Do you have a behavior question or problem you'd like to discuss with one of our trainers?

Note: Due to the potential for serious injury, canine and feline aggression are best handled by a professional who specializes in behavior. Because phone or email counseling is inadequate for addressing serious behavior concerns, we ask that you contact a qualified professional for help. Please refer to the list of behavior resources here.

1.

Your Contact Information:

*

Name:

First Required	Last Required

*

Email: Required

*

Mobile Phone: Required

*2.

What type of pet are you inquiring about?

(Select one of the available choices or enter a different value.)
Question - Required -

*3.

Preferred method of contact:

(Select one of the available choices or enter a different value.)
Question - Required -

4.

Question - Not Required - If we are contacting you by phone, what is the best time to contact you?
Please make 1 selection from the choices below.

	Morning
	Evening
	Either

*5.

Question - Required - Is your pet spayed or neutered?

*6.

Question - Required - What breed of pet do you have?

*7.

Question - Required - How old is your pet? Please specify months or years.

8.

Question - Not Required - Is your pet currently on any medications? If so, please list.

*9.

Question - Required - How long have you had your pet? Please specify months or years.

*10.

Question - Required - Do you have other pets in your home that interact with this pet on a regular basis? If so, please list the type of pets and their ages (please specify months or years).

(Maximum response 255 chars, approx. 5 rows of text)

11.

Question - Not Required - What is your training or behavior question for our trainer?

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