Canine Personality Profile
Please take the time to answer the following questions completely and honestly. This form enables us to know more about your pet so that we may place him/her in the best possible home.
Today's Date
-
Month
-
Day
Year
Owner name
*
First Name
Last Name
Owner Email
*
example@example.com
Owner Phone#
*
Please enter a valid phone number.
Animal name
*
Age
*
Gender
*
M or F
Spayed or Neutered
*
Yes or No
Breed(s)
*
Weight
*
If unknown, please approximate
Coloring
*
Veterinarian name
*
Veterinarian phone#
Please enter a valid phone number.
How do they usually behave when at the vet ?
Would you be open to us contacting you post-surrender if we have questions ?
Yes
No
Best means of contact
email or phone ?
** This does not guarantee we’ll reach out to you after you’ve surrendered your dog **
Please explain, in detail, why you have to give up your dog:
*
Explain any behavioral concerns
*
How long have your owned this dog ?
*
If you are not the only home, how did you acquire this dog ?
*
Stray
Given to you
Adopted
Adopted from where ?
How many other homes has this dog had ?
Has s/he ever been to obedience classes ?
*
No
Yes
Where were the classes ?
Does s/he know any tricks or commands ?
*
No
Yes
Which ones ?
Does s/he have any extra trained cues ?
Does s/he walk on a leash ?
*
No
Yes
Accustomed to any tools when on walks ?
IE harness, gentle leader, etc
How do they typically behave when on leash ?
Has s/he ever stayed at a boarding facility ?
*
No
Yes
Where ?
Has s/he ever stayed at a daycare ?
*
No
Yes
Where ?
Does s/he like to ride in the car ?
*
No
Yes
How do they usually behave in the car ?
Is s/he crate trained ?
*
No
Yes
How do they usually behave when in a crate ?
When is s/he used to being in a crate ?
Is s/he house trained ?
*
No
Yes
How much time does s/he spend outside - during the day ?
At Night ?
Does s/he like to go in the water/swim ?
Does s/he
*
Bark at strangers
Growl at strangers
Show teeth
Tremble
Lunge
How do they usually react to seeing unfamiliar people ?
Does s/he
Guard food
Guard toys
Guard people
Guard yard
Other
If s/he guards, what behaviors do they show when guarding ?
How long is s/he left home alone?
*
How are they accustomed to being confined when left alone ?
Has s/he shown any signs of separation anxiety ?
*
No
Yes
What behaviors are exhibited ?
Have you found anything that helps ?
Has s/he ever gotten loose ?
*
No
Yes
Circumstances?
What type of yard/restraint system is s/he used to ?
*
Fenced
Electric fence
Free run
Aerial runner
Other
What type of exercise is s/he used to, and for how long ?
Any favorite exercise activities?
Does s/he have a preference ?
*
Men
Women
Other animals
No preference
How do they react when meeting unfamiliar adults ?
Has s/he lived with kids ?
*
No
Yes
What ages ?
Does s/he get along with kids ?
*
No
Yes
What ages ?
How does s/he behave around unfamiliar children?
Would you trust this dog with small children and infants ?
*
No
Yes
If not, why ?
Has s/he lived with dogs ?
*
No
Yes
What breed/type of dog(s) ?
What age dog(s) ?
What size dog(s) ?
Does s/he get along with dogs ?
*
No
Yes
Dog selective
Does s/he have a preference when interacting with other dogs ?
How does s/he react when seeing unfamiliar dogs ?
Has s/he lived with cats ?
*
No
Yes
Are they typically housed or kept separate from cats ?
Yes or No, with explanation
Does s/he get along with cats ?
No
Yes
How do they behave around cats ?
Have you noticed any prey drive behaviors ?
*
No
Yes
Explain
Does s/he have any destructive habits ?
*
No
Yes
Explain (check all that apply)
Digging
Excessive barking
Stealing food
Snapping
Growling
Destructive chewing
Marking
Jumping up
Mouthing
Nipping
Running away
Mounting
House training
Other
Are there any triggers to destructive behaviors ?
How do you respond to your dog's destructive habits ?
Is s/he typically vocal ? When ?
*
Where does s/he sleep ?
*
Are they usually allowed on furniture ?
*
How many times a day is s/he fed ?
*
Once
Twice
Free choice
What brad of food ?
*
Type of food
*
Canned
Dry
Both
Is the dog used to getting any supplements, and for what?
Has s/he ever had any illness or injuries ?
*
No
Yes
Explain
Does s/he require any medications, special diet or any other form of ongoing treatment ?
*
No
Yes
Explain in detail
Does s/he have any areas of the body that are sensitive to touch ?
*
No
Yes
Which area ?
Head
Tail
Feet
Belly
Other
Explain behavior when one of these areas is touched
Has s/he ever bitten you or someone else ?
*
No
Yes
Did the bite break the skin ?
No
Yes
Circumstances around bite ?
Has s/he ever bitten another animal ?
*
No
Yes
Circumstances and severity ?
Is there anything s/he is afraid of and what is the reaction ?
*
Have you found anything that helps them cope with that fear?
What does s/he not like done ?
*
Nails cut
Brushing
Bath
Picked up
How does s/ he react?
Is h/she used to getting routine grooming, and how do they usually behave during?
*
Does s/he have any favorite games, activities or toys?
*
Any other comments or concerns ?
Submit
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