This is what I read about it:
Quote:
Puppy House Training Process - Teaching Your Puppy To "ask" To Go Outside.
If you aren't able to install a doggy door it is handy if you teach your dog the right way to let you know he wants to go outside. Do this by hanging a Poochie-Bell on a piece of string attached to the door handle (at the level of your puppy's nose).
1. Follow the puppy house training schedule as detailed above but now add the following: Each time you get to the door to go outside give the bell a bit of a shake and say "go potty". Do this every time you take your puppy outside to the toilet for a week or two.
2. After a week or so when you arrive at the door say "go potty" but don't touch the bell. You want your puppy to give it a nudge, if he does give lots of enthusiastic praise and quickly open the door. If your puppy doesn't nudge the bell after standing at the door for 10 seconds, shake the bell yourself while saying "go potty".
3. Keep trying this procedure every time you go outside until your dog "gets it".
4. Eventually your dog will make his way to the door and tap the bell every time he needs to go outside to the toilet.
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