1）Your location (city/country)
2）What disability/disabilities do you want your dog to help with?
3）Who will the dog help?
4）What's your dog's name?
5）How old is your dog?
6）What breed is your dog?
7）How does your dog react to strangers?
8）How does your dog react in new situations?
9）How does your dog react to other dogs?
10）How did you find us?
11）What training services are you interested in?
12）What should we know about your situation?
13) Your contact phone number