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  • Bite Threat/Bite Event Questionnaire

    This form must be completed and submitted prior to consult/first appointment.
  • I greatly appreciate you taking the time to complete this questionnaire. The information will be used solely to review your dog’s bite threat(s)/bite event(s) and to help me prepare a plan for training or behavior modification.

    Please review this entire questionnaire first, then go back and answer the questions as thoroughly as possible. Please ask anyone who witnessed the bite event(s) for their input as well.

    The information contained herein will only be shared with another trainer, veterinarian, veterinary specialist or veterinary behaviorist with your permission.

  • Pet Information

  • Bite Incident(s)

    Please provide details for any/all bite events, including near bite events





  • If there has been more than 1 bite event, please complete a separate Bite Event Questionnaire for each event.

  • By selecting the “I agree” button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. I further agree that my signature on this document is as valid as if I signed the document in writing. 

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  • Please visit my website to learn more about my training, education, methods, skills, credentials and history

    www.theinnerdog.com

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