First Name *

Last Name *

Age

Home Address

Phone *

Email *

Yard Address *

Occupation

Height

Weight

Emergency Contact Name/Phone *

Horse's Name *

Horse's Age

Breed

Sex

Length of Ownership

Insured?

Previous number of owners

Brief life history of the horse (including previous training):

Reasons for having a horse?

Reasons for Having This Particular Horse?

I consider myself to be a:

How many times have you/ trainer trained in last 12 months:

If using reward-based training, do you currently use a marker/bridge signal (also known as a clicker)?

If using reward-based training, what do you use as a reward?

Reason for enquiry about training:

Have you tried to seek help before? If so, what advice were you given?

Have you tried other methods to train this behaviour? If so, what have you tried?

What would you like to improve on/achieve with your training? Do you have any goals that you are working towards? (Short-term & Long-term)

If you could achieve anything at all with this horse what would it be?

Please access the VARK Questionnaire at: https://vark-learn.com/the-vark-questionnaire/ Please note your learning style scores below:

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