Detailed Behavioural Assessment Questionnaire

Please complete & submit this form with as much detail as possible, so I have all the information I need about you, your dog and your lifestyle together in order to complete my review & assessment and formulate a suitable progress plan for you both.

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

E-mail

example@example.com

Your Preferred Contact Telephone Number

Do you have any known health problems

If Yes please provide brief details here

Marketing Permissions

Your Dog's Name

What size and breed or type is your dog

IE - Small, Medium, Large & I appreciate most overseas dogs are mixed breeds, please include any possible breed types or characteristics your dog may have - ie Mioritic or Mioritic cross, Border Collie or BC Cross, Shepherd etc

Your dog's current age

Sex

What date/age was your dog neutered/spayed (if you don't know just type n/a)

What date did your dog come to live with you

From which rescue organisation was your dog adopted?

Describe how your dog settled in over the first 3 months at your home (if they have been with you less than 3 months, describe the period they've been with you so far)

Please provide details of your dogs history to date as far as you know - both in their country of origin & here in the UK.

Included any known history from when they were found/rescued overseas, how many homes in the UK, if they have been an adoption return what was the reason etc

Has your dog had any negative experiences with anything/anyone or any kind of trauma in their past that you know of

List your dogs 5 favourite things (e.g. cuddles, walks, playing chase, sleeping etc.)

List your dogs 5 least favourite things (e.g. storms, fireworks, strangers, visitors, traffic etc.)

What education / training has your dog had so far, what life skills do they have - e.g. sit, down, recall, leave it, hand touch, loose lead walking, impulse control etc. - & how were these taught - e.g. using positive reinforcement, luring, bribing, coercion etc

Please include details of any aversive teaching methods like (spray bottles, jerking on the lead, E-Collars) that may have been used either by you or someone else in your dog's history. We are NOT here to judge anyone, it would just be helpful to know what experiences are in your dog's history so we can make the best plan for them going forward.

BEHAVIOUR CONCERN 1 - Please provide details of the most pressing behaviour concern you would like to address

List or describe the circumstances or triggers that provoke this behaviour

Can you describe your dogs behaviour & body language in as much detail as possible when confronted with this trigger/circumstance - what do they do specifically

Can you tell me what you do when your dog performs this behaviour - what is your response when it happens

How many times a day is this behaviour happening

How long does it take your dog to recover

Other

Is there anything else about this behaviour concern you would like to mention or add - if nothing, just put n/a

Have you previously consulted with a trainer or behaviourist about this problem

If so, please provide details of the individual training activities and exercises you were recommended by that trainer/behaviourist. Also include details of what has been effective in seeing results and what has not been effective. If not applicable, just type N/A

BEHAVIOUR CONCERN 2 - Please provide details of the next most pressing behaviour concern you would like to address

List or describe the circumstances or triggers that provoke this behaviour

Can you describe your dogs behaviour & body language in as much detail as possible when confronted with this trigger/circumstance - what do they do specifically

Can you tell me what you do when your dog performs this behaviour - what is your response when it happens

How many times a day is this behaviour happening

How long does it take your dog to recover

Other

Is there anything else about this behaviour concern you would like to mention or add - if nothing, just put n/a

Have you previously consulted with a trainer or behaviourist about this problem

If so, please provide details of the individual training activities and exercises you were recommended by that trainer/behaviourist. Also include details of what has been effective in seeing results and what has not been effective. If not applicable, just type N/A

ADDITIONAL BEHAVIOUR CHALLENGES: Please add here details of any other behavioural challenges you wish to discuss/mention - If there are none, just put n/a

Has your dog ever bitten anyone, if so please provide details of each incident below including the circumstances surrounding the bite and how severe the bite was. If not applicable, please just type N/A

IE - Nipped at clothing, nipped and caught skin, caused bruising, broke the skin, puncture wounds etc

Check any of the following that exist or happen on a daily or regular basis

Please list all members of your household and their ages

Who would you say your dog trusts most in the world. Who are they most comfortable with, most relaxed around, most responsive to etc

If your dog has issues, is fearful or reactive toward anyone living in the same household, please provide details of those people here. If there are none, just type N/A

Are there any other pets in the household

If there are other pets in the household, please provide brief details & ages here

Ho would you describe your household - e.g. Busy, hectic, rowdy, lots of comings & goings, quiet, calm,

Tell me about the type of area you live in - e.g. inner city, large town, small town, fringes of town, village, rural/countryside etc.

When did your dog last visit a Vet & what was the visit for

What is your dogs approximate current weight

Does your dog have any known injuries, possible injuries or ongoing health issues

If Yes please provide details of the injury or health issues here - if none just put n/a

If you don't know of any injuries but suspect your dog may have any because you've noticed things in the way they move or carry themselves, or they are sensitive to touch in certain areas, please include details here

Have you noticed anything that has made you wonder if your dog may be in pain - if not just put n/a

Is your dog on any medication or supplements? If yes, please provide details here - if not just type n/a

What Diet do you feed your dog - please include brand names & type - ie senior, hypoallergenic etc

How do you feed your dog (check all that apply)

Other

What food treats do you usually use when training

Please list details of any additional treats, chews, food items your dog has regularly in addition to their daily diet & training treats

Is your dog food motivated

How many times a day does your dog poop and what is it like. For example, two times a day, a large/small handful, usually firm / soft / loose & light / dark in colour

You're almost there! Last Section!

Thank you for taking the time to provide all these details for me, it will definitely help set us all up for success! 😊

Please provide details of what your dog's daily routine looks like - What time they get up, eat, what time they go for walks/exercise, when they sleep/rest etc.

I appreciate not every day may be exactly the same but if you can provide an idea of what your dogs daily routine looks like that would be helpful.

How much total exercise does your dog have each day (This can be walks or just at home/in the garden if your dog doesn't go on walks yet)

How long are each of your dogs walks and in what type of locations. For example: AM walk - 30 minutes on lead street walk / PM walk - 1 hour off lead quiet countryside walk

If your dog is not going on walks, please provide details of the activities you do with them at home or in the garden, what type, how long for etc

What type of equipment does your dog wear to go on walks - Collar/Lead/Harness etc. - please provide product names where applicable

IE - Perfect fit Harness, flat collar, choke chain, semi choke collar, 6ft soft lead, Halti Head collar, 15ft training line etc If different equipment is used for different types of walks, please clarify this too.

Does your dog show any signs of aversion to having their walking equipment put on them

Does your dog have regular opportunities to interact with other dogs (if this is something they enjoy)

Does your dog go to daycare? If so please provide the name of the daycare facility + how often your dog goes as well as for how long each time - if your dog doesn't go to daycare, just put n/a

Do you have a dog walker that regularly walks your dog for you? If so please provide details of whether these are solo or group walks and how your dog is when out on walks with your dog walker - if not just put n/a

How often do you play with your dog on an average day (this can include play on walks but must be interactive play or activities with you - not just you walking your dog)

Describe how you play with your dog

What would you say are your dogs favourite games / things to play with you (e.g. chase games, hide & seek games, hunting games, rough & tumble games etc.)

Do other household members play with your dog - if so, describe what games they play, are they the same as with you or different?

If not applicable please just type N/A

Is your dog toy motivated, if so please provide details of toy preferences in order of most favourite to least favourite

If not applicable please just type N/A

How many hours of rest and/or sleep do you feel your dog gets each day. Please split between night & daytime

EG - 8 hours sleep at night, 3 hours sleep during the day, 1-2 hours resting during the day but not sleeping etc

Where does your dog sleep at night

Where is your dog left when you go out during the day

Do you have any space management in place at home. ie baby gates separating rooms, or preventing your dog from gaining access to certain areas of the home

How often does your dog have enrichment activities

What type of enrichment activities does your dog enjoy? Which would you say are their absolute favourites

IE - Stuffed Kongs or bones, likkimats, snufflemats, snuffle boxes, scatter feeding, scent trails, hidden treats etc

What type of enrichment activity do you feel helps your dog be more calm & relaxed

Is your dog happy to wear a muzzle

Is your dog crate trained

Does your dog have any unique quirks or preferences that you have noticed, if so please provide details here, if none please just type N/A

How did you hear about The DOG's Point of View

May we use any photos/videos of you and/or your dog taken during consultations or provided by you on our website and/or in marketing and online tutorial materials?

If there is anything else you would like to add, please do so here

Thank you for completing the detailed pre-consult questionnaire, once you hit submit all your information will be emailed to me and once I have your video files I will review all the information and formulate your initial progress plan. If I require any further information from you, I will be in touch.

If you have any questions please do not hesitate to email me at michelle@thedogspov.com.

Speak Soon :)

Kind Regards

Meesh

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Disclaimer: By completion of this form you understand that the participation in a dog training session, consultation or class may pose some risk to yourself, your dog, members of your family, or visiting guests and you assume the risk of any damage or injury incurred in attending such sessions conducted by The Dogs Point of View.

Whether we work in person or remotely you agree to minimize all risk by fully disclosing any danger or sensitivities your dog may present with and will immediately inform the trainer of any situations that may provoke aggression in your dog and be responsible for avoiding or preventing those situations.

In aggreeing to participate, you agree that yourself and any minors attending the dog training session/s or consultations with us, whether in person or via remote video consultations, waive, release, and agree to hold harmless The Dog's Point of view and any and all of its trainers and volunteers from any and all causes of actions, claims, demands, losses, injuries, and damages of any kind which may be sustained by you or your dog/s in connection with the dog training session.

You understand that you shall be responsible for and indemnify and hold harmless The Dog's Point of View and its trainers, volunteers and representatives from and against all claims, damages, costs and liabilities in respect of any loss, damage or personal injury sustained by you or any third party which is directly or indirectly caused by your dog.

Detailed Behavioural Assessment Questionnaire

TELL ME ABOUT YOUR DOG

TELL ME ABOUT YOUR BEHAVIOUR CHALLENGES

TELL ME ABOUT YOUR HOUSEHOLD

TELL ME ABOUT YOUR DOG'S HEALTH & DIET

TELL ME ABOUT YOUR DOG'S DAY TO DAY LIFE