TailWaggersK9Sport Behaviour Assessment V3

Thank you for considering TailWaggersK9Sport. Please understand that we are not Behavior Consultants; we are trainers who work with behavior. If you would like a referral to our nearest Behavior Consultants, we are happy to provide this information.

During your session, we will consider your dog's lifestyle and may make recommendations in addition to any training. These recommendations go along to support the dog's ability to remove or diminish said behavior. Please be honest with your answers; we are not here to judge but to help.

Depending on the session you require, you may be asked to book further sessions: the main one and a follow-ups to ensure we are making progress. We also recognize that, as much as we want to help all the dogs and their handlers, we can't. If we feel we do not have the correct background for your concern, we will advise you and provide you with other suitable recommendations. This may be after the first session. In this case, we will give you as much information and advice as possible to at least get you started on your goal.

Please note that notes and recommendations from the session may be shared with your veterinarian, especially in potential bite cases.

I have read the above statements*

Yes

Name

First NameLast Name

Email

example@example.com

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.

Dogs Name

Dogs Age

Dogs Breed

My dog is

altered/fixed/neutered/spayedunaltered/intact

Is your dog a rescue, if yes please state how long the dog has been with you;

Please state how many adults and children live in the house (please provide ages of children and if willing state any illnesses in the household e.g. elderly parent with dementia);

Do you have any other animals, please list;

Is there an invisible fence at the property?

Do you use, or do you know if any of the following tools have been used to train the dog; E-collar, pulse collar, choke collar, prong collar or slip leash;

Please provide the name and address of your veterinarian

Is your dog on any medication, prescribed or other? If yes please provide details of the medication and frequency, how long the dog has been on the medication and what it was prescribed for.

Has your dog experienced a trauma or accident, since their last vet visit - or are you aware of a trauma that may have brought on the behaviour?

Is your dog, dog to dog friendly (if this is the reason you are requesting the session please answer No or Yes appropriately, you will be asked for more information later on in the form)

Is your dog, dog to human friendly (if this is the reason you are requesting the session please answer No or Yes appropriately, you will be asked for more information later on the form)

Please provide details of your dogs training history and any current mental stimulation activities (e.g. we took puppy class, we are currently training in rally obedience, we are frequently in trials, hide and seek at home etc)

Please provide details of your dogs exercise regime, (e.g 1 x 20min walk a day twice a week plus 2 hours yard time)

Please describe your dogs diet, type of food, how much, how often etc.. include any treats.

Please upload proof of up to date vaccination including Bordetella (note these are not required for zoom or telephone sessions), we require these before booking in person sessions.

Please indicate when you are available, (note evenings after 4pm and weekends are not often available).

Please provide details of behavioural concerns, including how long the behaviour has been occurring, any training you have tried, how frequent it occurs etc.

If bites have occurred to a human or dog, please provide details of the bite, (for example; frequency, skin broken, blood drawn etc).

Please indicate what your hopes, expectations are with regards to the situation and the behaviour, (for example: I hope to be able to take my dog to the dog park)

Behaviour modification training can require frequent short sessions. It is not possible to say that, if successful the training will be affective in X weeks. Please acknowledge that you understand there is not a 'quick fix' and that this training often encompasses more than just practical training.