Dog Behaviour Assessment
  • Dog Behaviour Assessment

  • If you can please send this back at least 48 hours before your appointment that would be muchly appreciated.

  • Dog Information

  • DOB*
     - -
  • Have you owned this breed before?
  • Sex
  • Desexed
  • Where did you obtain your dog?
  • Issues

  • Do you trust your dog?
  • How often do you see this problem in your dog?
  • Home Information

  • Is your dog mostly;
  • Is your dog toilet trained?
  • Daily Activites and Routine

  • Do you use a crate?
  • Have you tried a crate in the past?
  • Training

  • Has your dog had obedience training?
  • Can they perform these commands at home?
  • Can they perform these commands outside of the home with stimuli present? e.g. people, other dogs
  • What does your dog wear while walking/training/out of the house?
  • Punishments you use for your dog?
  • Does the punishment work?
  • Handling

  • How does your dog respond to the following:
    Nail Trim

    Ear Cleaning     

    Brushing     

    Bathing      

    Rubbing Belly   

    Patting Head     

    Being lifted     

    Grabbing their collar     

    Rolling Over     

    Touching mouth     

    Giving hugs/kisses     

    Giving pills/medications     

  • Reactivity

  • How does your dog respond to the following:
    (Please write; calm, neutral, excited, friendly, fearful, aggressive, anxious)
    Familiar dogs on property  

    Familiar dogs off property        

    New dogs on property     

    New dogs off property      

    Strangers out the front/at door      

    Strangers in the home      

    Strangers outside of the house      

    Car rides      

    Thunderstorms/fireworks      

    Other loud noises e.g. shouting      

    Around men      

    Around women      

    Around kids      

    Other situations your dog may be fearful or aggressive;      

  • Aggression

  • Has your dog ever shown aggression towards any human?               
    If yes, please describe      
    Has your dog ever shown aggression towards dogs?         
    If yes, please describe      
    Has your dog ever shown aggression towards food?                  
    If yes, please describe         
    Has your dog ever shown aggression towards any toy?            
    If yes, please describe      
    Does your dog growl at any time?            

  • What do you do when this happens?      
    Has your dog ever bitten another dog?         

  • Did the dog need medical treatment of any kind after the bite?
  • Has your dog ever bitten a person?
  • Was any medical assisstance needed after the bite?
  • Thank you for taking the time to fill out this form as best as you can to help us provide the best care and recommendations for you and your dog

  • Should be Empty: