Dog Behavior Questionnaire
Dog Owner's Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Dog's Name
Kennel Name (if applicable)
Dog's Age
How long have you owned your dog?
Where did you acquire your dog ?
(breeder, shelter, rescue, etc.)
Why did you get this dog?
(companion, show, breeding, sports, etc.)
Is your dog up to date on vaccinations and vetting?
Any known medical issues or medication the dog is taking?
Is your dog spayed/neutered?
Dog Breed
Why did you choose this breed? Have you ever owned this breed before?
Have you owned a dog before?
Sex of Dog
Is the dog currently on heart worm/flea/tick preventatives?
What food do you feed your dog?
(Iams, Purina Pro Plan, Raw, etc.)
List the other human family members in the home.
List any other pets in the home (any species).
Describe your dog's daily routine, including feeding, exercise, and training.
Where is your dog when you leave them home alone?
How does your dog behave at home?
(e.g., calm, anxious, active, etc.)
Does your dog exhibit any undesirable behaviors at home?
(e.g., chewing, barking, digging)
How does your dog generally behave around family members and visitors?
Does your dog have any specific preferences for interaction/handling?
(e.g., likes belly rubs, dislikes being picked up)
How does your dog interact with other dogs or pets in the household?
How does your dog behave around other dogs or animals outside of the household?
Has your dog undergone any training, and if so, what type?
How does your dog respond to commands or cues?
(e.g., sit, stay, come)
Does your dog exhibit any fears or phobias?
(e.g., thunderstorms, fireworks)
Does your dog show any signs of aggression?
(towards people, other dogs, or specific situations)
How does your dog behave when traveling or in new environments?
Does your dog have any special needs or preferences you'd like to share?
(e.g., dietary restrictions, favorite toys)
Is there anything else you'd like to add about your dog's behavior, personality, or any specific concerns?
Submit
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