• CANINE BEHAVIOR CONSULTATION QUESTIONNAIRE

    Landsberg G, Hunthausen W, Ackerman L 2003 Handbook of Behavior Problems of the Dog and Cat. Saunders, Edinburgh# 2003, Elsevier Science Limited. All rights reserved.
  • General Information

  •  -  -
    Pick a Date
  • Pet Information

  • The Home Environment

  • Reinforcer Assessment

  • Daily Activities and Routine

  • Training

  • Select type of training equipment used, dog's response and success rate.
  • For each of the following, use the rating scale: 1 (poor) to 5 (excellent), to indicate how your dog responds to the following cues.
  • Punishment

  • Handling

    Rate how your dog reacts to the following 1=poor, 5=excellent
  • Housetraining Screen

  • Medical Screen

  • Departure Screen

  • Reactivity Screen

    Indicate how your dog reacts to the following (check all the apply).
  • Aggression Screen

  • Situations that cause aggression
  • If there have been no signs of aggression or it has been entirely resolved, then proceed to Principal Complaint. Otherwise, please answer the following:
  • Principal Complaint

  • Miscellaneous

    Please answer any of the following that have not been previously discussed.
  • Should be Empty:
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