Reactive Dog – Behavior Class questionnaire Owner's Name(required) Address(required) Email(required) Phone #(required) Dog's Name(required) Breed(required) Date of birth or Age(required) Gender / Neuter status(required) Intact Male Intact Female Neutered Male Spayed Female Age when neutered or spayed Does your dog have any physical problems that your vet has noted?(required) Is your dog currently on any medication?(required) What's your dog's typical diet / food?(required) Are there any other pets in your household? Do they have any behavior problems?(required) Are there any other people living in the household and what are their relationships with the dog?(required) How old was your dog when you got her/him?(required) Do you have any information about previous owners, breeder set-up, litter mates?(required) Activity Information: How much exercise / how many walks per day?(required) How many training session / play sessions each day and how long?(required) What does your dog in between these activities?(required) How is your dog kept when you leave him/her alone?(required) How many hours per day (daytime) does your dog spend alone?(required) How many hours per day does your dog spend in a crate?(required) Where does your dog sleep?(required) What kind of training / classes has your dog attended?(required) What tricks / behaviors does your dog know?(required) Which of these does your dog find exciting and which are calming?(required) In response to other dogs, does your dog do any of the following behaviors?(required) salivate piddle hide freeze pant pace refuse food if offered bark/growl lunge yawn chase snap/bite/aggress tremble/shake seek out people What specifically triggers this response?(required) How often does your dog encounter them?(required) daily weekly monthly How would you describe your dog's behavioral problem?(required) When did it first occur?(required) Has it progressed?(required) Did it occur suddenly or develop slowly over time?(required) Is the problem always present(required) yes no What has been tried to resolve the problem?(required) Is there anything else you'd like me to know? Submit Δ Share this:Email
Pawsome Connection Dog Training