Canine Behavioral History 2025

1
Todays Date
Date
Month
Day
Year
2
How did you find us or who referred you
3
Name
4
Address
5
Email
example@example.com
6
Phone Number
7
Name
8
Email
example@example.com
9
Phone Number
10
Pets name
11
Sex
12
Coat Color
13
Breed
14
Date of birth
Date
Month
Day
Year
15
Neutered/Spayed?
16
Weight
17
Clinic name
18
Clinic phone number
19
Dr Name
20
How old was your dog when you first acquired him/her?
21
Date you got your dog?
Date
Month
Day
Year
22
Was your dog orphaned?
Yes
No
Unknown
23
Was your dog hospitalized for more than 3 days before the age of 6 months old?
Yes
No
Unknown
24
Has this dog had other owners?
Yes
No
Unknown
25
Why was the dog given up by the previous owner
26
Did you meet your dog's parents or do you have any information about littermates?
Yes
No
Unknown
27
Briefly describe your dog as a puppy(e.g. friendly, fearful, energetic, calm, independent, responsive to instruction.)
Huge
Large
Normal
Small
Ok
Ok
28
Basic description of problems (e.g, .destructions when left alone urinating in the house bite to visitors in the home)
29
Age at which problem began
30
Severity
Very serious
Serious
Not Serious
31
Is it getting better or worse
32
What is the main behavior problem or complaint?
33
Date of first behavior incident:
Date
Year
Month
Day
34
Please describe the first behavior incident.
35
Date of most recent behavior incident:
Date
Year
Month
Day
36
Please describe the most recent behavior incident.
37
Please describe any other important behavior incidents you remember and include approximate dates if possible.
38
Please list the people, including yourself, living in your household. Briefly describe the way each person interacts with the dog and how the dog reacts to this person.
Huge
Large
Normal
Small
Ok
Ok
39
How often do the members of your family have conflicts regarding how to handle the dogs behavior problem
Never
Sometimes
Always
40
Please list ALL the animals in the household IN THE SEQUENCE THEY WERE OBTAINED. Also briefly describe the nature of the dogs interaction with this peteg occasional growls little interaction friendly etc
Huge
Large
Normal
Small
Ok
Ok
41
How does your dog behave when visitors arrive
42
Frequent Visitors
43
Occasional Visitors
44
Rare visitors
45
Repair/Delivery persons
46
What is the total number of aggressive episodes (growling, snapping, or biting) your dog has shown ?
47
How many times has your dog bitten a human
48
How many bites broke skin
49
How much medical attention
50
What is your dogs response to unfamiliar dogs? Does this differ when on your property in car or off property?
51
What is your response to cats or other small animals outside your household?(e.g., in the yard, on walks, or in public spaces)
52
Please complete the table below. Please check all that apply.
Defecates
Urinates
Salivates
Dilates Pupils
Trembles
Tucks Tail
Hides
Escapes
Destroys
Vocalizes
As you are leaving the house
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Row 0, Column 8
Row 0, Column 9
Dog is home alone (no people)
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Row 1, Column 8
Row 1, Column 9
Dog is home alone confined to a crate
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Row 2, Column 8
Row 2, Column 9
Fireworks
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Row 3, Column 7
Row 3, Column 8
Row 3, Column 9
Thunderstorm
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Row 4, Column 5
Row 4, Column 6
Row 4, Column 7
Row 4, Column 8
Row 4, Column 9
Loud noises
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Row 5, Column 5
Row 5, Column 6
Row 5, Column 7
Row 5, Column 8
Row 5, Column 9
Gun shot
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
Row 6, Column 5
Row 6, Column 6
Row 6, Column 7
Row 6, Column 8
Row 6, Column 9
As you are leaving the house
Dog is home alone (no people)
Dog is home alone confined to a crate
Fireworks
Thunderstorm
Loud noises
Gun shot
Defecates
Row 0, Column 0
Urinates
Row 0, Column 1
Salivates
Row 0, Column 2
Dilates Pupils
Row 0, Column 3
Trembles
Row 0, Column 4
Tucks Tail
Row 0, Column 5
Hides
Row 0, Column 6
Escapes
Row 0, Column 7
Destroys
Row 0, Column 8
Vocalizes
Row 0, Column 9
Defecates
Row 1, Column 0
Urinates
Row 1, Column 1
Salivates
Row 1, Column 2
Dilates Pupils
Row 1, Column 3
Trembles
Row 1, Column 4
Tucks Tail
Row 1, Column 5
Hides
Row 1, Column 6
Escapes
Row 1, Column 7
Destroys
Row 1, Column 8
Vocalizes
Row 1, Column 9
Defecates
Row 2, Column 0
Urinates
Row 2, Column 1
Salivates
Row 2, Column 2
Dilates Pupils
Row 2, Column 3
Trembles
Row 2, Column 4
Tucks Tail
Row 2, Column 5
Hides
Row 2, Column 6
Escapes
Row 2, Column 7
Destroys
Row 2, Column 8
Vocalizes
Row 2, Column 9
Defecates
Row 3, Column 0
Urinates
Row 3, Column 1
Salivates
Row 3, Column 2
Dilates Pupils
Row 3, Column 3
Trembles
Row 3, Column 4
Tucks Tail
Row 3, Column 5
Hides
Row 3, Column 6
Escapes
Row 3, Column 7
Destroys
Row 3, Column 8
Vocalizes
Row 3, Column 9
Defecates
Row 4, Column 0
Urinates
Row 4, Column 1
Salivates
Row 4, Column 2
Dilates Pupils
Row 4, Column 3
Trembles
Row 4, Column 4
Tucks Tail
Row 4, Column 5
Hides
Row 4, Column 6
Escapes
Row 4, Column 7
Destroys
Row 4, Column 8
Vocalizes
Row 4, Column 9
Defecates
Row 5, Column 0
Urinates
Row 5, Column 1
Salivates
Row 5, Column 2
Dilates Pupils
Row 5, Column 3
Trembles
Row 5, Column 4
Tucks Tail
Row 5, Column 5
Hides
Row 5, Column 6
Escapes
Row 5, Column 7
Destroys
Row 5, Column 8
Vocalizes
Row 5, Column 9
Defecates
Row 6, Column 0
Urinates
Row 6, Column 1
Salivates
Row 6, Column 2
Dilates Pupils
Row 6, Column 3
Trembles
Row 6, Column 4
Tucks Tail
Row 6, Column 5
Hides
Row 6, Column 6
Escapes
Row 6, Column 7
Destroys
Row 6, Column 8
Vocalizes
Row 6, Column 9
1 of 7
53
Other fears or anxiety
54
Please list any trainers or training programs used, when they were used, what behaviors were addressed, and which training tools were involved.
Huge
Large
Normal
Small
Ok
Ok
55
Please fill out the form
Attempted
Currently Using
Poor Outcome
Stare at or “stare down”
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Grab by jowls/scruff and shake
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Shake or throw a can
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Hold dog down as a correction for misbehavior
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
“Time out” (if done, specify where, when, and how long)
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Slip lead
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Water pistol/ spray
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Halti or Gentle leader head collar
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
No-pull harness (e.g. East Walk)
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Invisible/electric fence (inside or out)
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Bark collar (shock, spray, ultrasonic)
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Remote control shock collar
Row 11, Column 0
Row 11, Column 1
Row 11, Column 2
Use of food or puzzle toys (e.g. Kongs, etc.)
Row 12, Column 0
Row 12, Column 1
Row 12, Column 2
Rewards for good behavior (if so, what rewards, e.g. food, praise)?
Row 13, Column 0
Row 13, Column 1
Row 13, Column 2
Tether/tie out on a line in yard
Row 14, Column 0
Row 14, Column 1
Row 14, Column 2
Use of muzzle at home or on walks
Row 15, Column 0
Row 15, Column 1
Row 15, Column 2
Teach dog “look” or “watch me”
Row 16, Column 0
Row 16, Column 1
Row 16, Column 2
Clicker training
Row 17, Column 0
Row 17, Column 1
Row 17, Column 2
Anything else that was tried?
Row 18, Column 0
Row 18, Column 1
Row 18, Column 2
E-collar
Row 19, Column 0
Row 19, Column 1
Row 19, Column 2
Pronged collar
Row 20, Column 0
Row 20, Column 1
Row 20, Column 2
Stare at or “stare down”
Grab by jowls/scruff and shake
Shake or throw a can
Hold dog down as a correction for misbehavior
“Time out” (if done, specify where, when, and how long)
Slip lead
Water pistol/ spray
Halti or Gentle leader head collar
No-pull harness (e.g. East Walk)
Invisible/electric fence (inside or out)
Bark collar (shock, spray, ultrasonic)
Remote control shock collar
Use of food or puzzle toys (e.g. Kongs, etc.)
Rewards for good behavior (if so, what rewards, e.g. food, praise)?
Tether/tie out on a line in yard
Use of muzzle at home or on walks
Teach dog “look” or “watch me”
Clicker training
Anything else that was tried?
E-collar
Pronged collar
Attempted
Row 0, Column 0
Currently Using
Row 0, Column 1
Poor Outcome
Row 0, Column 2
Attempted
Row 1, Column 0
Currently Using
Row 1, Column 1
Poor Outcome
Row 1, Column 2
Attempted
Row 2, Column 0
Currently Using
Row 2, Column 1
Poor Outcome
Row 2, Column 2
Attempted
Row 3, Column 0
Currently Using
Row 3, Column 1
Poor Outcome
Row 3, Column 2
Attempted
Row 4, Column 0
Currently Using
Row 4, Column 1
Poor Outcome
Row 4, Column 2
Attempted
Row 5, Column 0
Currently Using
Row 5, Column 1
Poor Outcome
Row 5, Column 2
Attempted
Row 6, Column 0
Currently Using
Row 6, Column 1
Poor Outcome
Row 6, Column 2
Attempted
Row 7, Column 0
Currently Using
Row 7, Column 1
Poor Outcome
Row 7, Column 2
Attempted
Row 8, Column 0
Currently Using
Row 8, Column 1
Poor Outcome
Row 8, Column 2
Attempted
Row 9, Column 0
Currently Using
Row 9, Column 1
Poor Outcome
Row 9, Column 2
Attempted
Row 10, Column 0
Currently Using
Row 10, Column 1
Poor Outcome
Row 10, Column 2
Attempted
Row 11, Column 0
Currently Using
Row 11, Column 1
Poor Outcome
Row 11, Column 2
Attempted
Row 12, Column 0
Currently Using
Row 12, Column 1
Poor Outcome
Row 12, Column 2
Attempted
Row 13, Column 0
Currently Using
Row 13, Column 1
Poor Outcome
Row 13, Column 2
Attempted
Row 14, Column 0
Currently Using
Row 14, Column 1
Poor Outcome
Row 14, Column 2
Attempted
Row 15, Column 0
Currently Using
Row 15, Column 1
Poor Outcome
Row 15, Column 2
Attempted
Row 16, Column 0
Currently Using
Row 16, Column 1
Poor Outcome
Row 16, Column 2
Attempted
Row 17, Column 0
Currently Using
Row 17, Column 1
Poor Outcome
Row 17, Column 2
Attempted
Row 18, Column 0
Currently Using
Row 18, Column 1
Poor Outcome
Row 18, Column 2
Attempted
Row 19, Column 0
Currently Using
Row 19, Column 1
Poor Outcome
Row 19, Column 2
Attempted
Row 20, Column 0
Currently Using
Row 20, Column 1
Poor Outcome
Row 20, Column 2
1 of 21
56
What type of area do you live in? Urban suburban ect
57
What type of home do you live in? Studio apartment, House
58
Do you have a yard?
YESNO
59
If yes, what type of fence do you have?
60
Fence Height
61
Has your household changed since acquiring your dog?
YESNO
62
If yes, how?
63
How many times is your dog walked on a leash per day?
64
What is the average length of each least walk? Please do not include yard time
65
How much time does the dog spend outdoors unsupervised?
66
Where is your dog when home alone? eg confined to a room or crate loose in the house outdoors etc.
67
Where is your dog when you have guests? Please indicate wheter this is by choice, or whether you put him/her there.
68
How does your dog behave as you prepare to leave?
69
How does your dog behave when you return?
70
Where does your dog sleep at night?
71
What do you feed your dog? (Please be specific, e.g. brand name, canned vs. dry)
72
How many meals is your dog fed each day?
73
Does your dog finish each meal? If not is the food bowl left out all day?
74
Where is your dogs food bowl?
75
Does your dog have any food allergies or diet restrictions? If yes, please describe.
76
Medical ProblemsPlease list any previously diagnosed medical problems and how they were treated.
Date
Diagnosis
Treatment (including medications and dosage)
Outcome
Medical Problem
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Medical Problem
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Medical Problem
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Medical Problem
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Medical Problem
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Medical Problem
Medical Problem
Medical Problem
Medical Problem
Medical Problem
Date
Row 0, Column 0
Diagnosis
Row 0, Column 1
Treatment (including medications and dosage)
Row 0, Column 2
Outcome
Row 0, Column 3
Date
Row 1, Column 0
Diagnosis
Row 1, Column 1
Treatment (including medications and dosage)
Row 1, Column 2
Outcome
Row 1, Column 3
Date
Row 2, Column 0
Diagnosis
Row 2, Column 1
Treatment (including medications and dosage)
Row 2, Column 2
Outcome
Row 2, Column 3
Date
Row 3, Column 0
Diagnosis
Row 3, Column 1
Treatment (including medications and dosage)
Row 3, Column 2
Outcome
Row 3, Column 3
Date
Row 4, Column 0
Diagnosis
Row 4, Column 1
Treatment (including medications and dosage)
Row 4, Column 2
Outcome
Row 4, Column 3
1 of 5
77
Please list any BEHAVIORAL medications and supplements you have administered to your pet:
Name of medication
Frequency and mg amount (i.e. 10 mg every 12 hours)
Date started/stopped and Outcome (i.e. improved, no change, worse)
Medical Problem
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Medical Problem
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Medical Problem
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Medical Problem
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Medical Problem
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Medical Problem
Medical Problem
Medical Problem
Medical Problem
Medical Problem
Name of medication
Row 0, Column 0
Frequency and mg amount (i.e. 10 mg every 12 hours)
Row 0, Column 1
Date started/stopped and Outcome (i.e. improved, no change, worse)
Row 0, Column 2
Name of medication
Row 1, Column 0
Frequency and mg amount (i.e. 10 mg every 12 hours)
Row 1, Column 1
Date started/stopped and Outcome (i.e. improved, no change, worse)
Row 1, Column 2
Name of medication
Row 2, Column 0
Frequency and mg amount (i.e. 10 mg every 12 hours)
Row 2, Column 1
Date started/stopped and Outcome (i.e. improved, no change, worse)
Row 2, Column 2
Name of medication
Row 3, Column 0
Frequency and mg amount (i.e. 10 mg every 12 hours)
Row 3, Column 1
Date started/stopped and Outcome (i.e. improved, no change, worse)
Row 3, Column 2
Name of medication
Row 4, Column 0
Frequency and mg amount (i.e. 10 mg every 12 hours)
Row 4, Column 1
Date started/stopped and Outcome (i.e. improved, no change, worse)
Row 4, Column 2
1 of 5
78
Please mark the appropriate response (growl, snap/bite, etc.) based on your experiences with the dog. Please do not attempt these actions now to test your dog’s reaction. If the dog previously has been aggressive in any situation, please indicate the target(s) of aggression (e.g. daughter, family friend, delivery person)
Bark
Growl
Snarl/Bare Teeth
Snap
Bite (broke skin)
Bite (did not break skin)
No Reaction
N/A
Pet dog
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Row 0, Column 7
Hug/ Kiss dog
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Row 1, Column 7
Lift Dog
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Row 2, Column 7
Push/Pull of Furniture
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Row 3, Column 7
Approach on furniture
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Row 4, Column 5
Row 4, Column 6
Row 4, Column 7
Disturb while at rest or /sleeping
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
Row 5, Column 5
Row 5, Column 6
Row 5, Column 7
Approach while eating
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
Row 6, Column 5
Row 6, Column 6
Row 6, Column 7
Take dog’s food away
Row 7, Column 0
Row 7, Column 1
Row 7, Column 2
Row 7, Column 3
Row 7, Column 4
Row 7, Column 5
Row 7, Column 6
Row 7, Column 7
Take bone/ chew away
Row 8, Column 0
Row 8, Column 1
Row 8, Column 2
Row 8, Column 3
Row 8, Column 4
Row 8, Column 5
Row 8, Column 6
Row 8, Column 7
Approach or take an object dog has
Row 9, Column 0
Row 9, Column 1
Row 9, Column 2
Row 9, Column 3
Row 9, Column 4
Row 9, Column 5
Row 9, Column 6
Row 9, Column 7
Dog at veterinary clinic
Row 10, Column 0
Row 10, Column 1
Row 10, Column 2
Row 10, Column 3
Row 10, Column 4
Row 10, Column 5
Row 10, Column 6
Row 10, Column 7
Unfamiliar adult enters house or yard
Row 11, Column 0
Row 11, Column 1
Row 11, Column 2
Row 11, Column 3
Row 11, Column 4
Row 11, Column 5
Row 11, Column 6
Row 11, Column 7
Unfamiliar child enters house or yard
Row 12, Column 0
Row 12, Column 1
Row 12, Column 2
Row 12, Column 3
Row 12, Column 4
Row 12, Column 5
Row 12, Column 6
Row 12, Column 7
Familiar adult enters house or yard
Row 13, Column 0
Row 13, Column 1
Row 13, Column 2
Row 13, Column 3
Row 13, Column 4
Row 13, Column 5
Row 13, Column 6
Row 13, Column 7
Familiar child enters house or yard
Row 14, Column 0
Row 14, Column 1
Row 14, Column 2
Row 14, Column 3
Row 14, Column 4
Row 14, Column 5
Row 14, Column 6
Row 14, Column 7
Response to toddlers/babies
Row 15, Column 0
Row 15, Column 1
Row 15, Column 2
Row 15, Column 3
Row 15, Column 4
Row 15, Column 5
Row 15, Column 6
Row 15, Column 7
Dog in car at drive-thru windows or gas station
Row 16, Column 0
Row 16, Column 1
Row 16, Column 2
Row 16, Column 3
Row 16, Column 4
Row 16, Column 5
Row 16, Column 6
Row 16, Column 7
Unfamiliar adult approaches owner, dog on leash
Row 17, Column 0
Row 17, Column 1
Row 17, Column 2
Row 17, Column 3
Row 17, Column 4
Row 17, Column 5
Row 17, Column 6
Row 17, Column 7
Unfamiliar child approaches owner, dog on leash
Row 18, Column 0
Row 18, Column 1
Row 18, Column 2
Row 18, Column 3
Row 18, Column 4
Row 18, Column 5
Row 18, Column 6
Row 18, Column 7
Dog in house, sees people outside
Row 19, Column 0
Row 19, Column 1
Row 19, Column 2
Row 19, Column 3
Row 19, Column 4
Row 19, Column 5
Row 19, Column 6
Row 19, Column 7
Response to other dogs, while on leash
Row 20, Column 0
Row 20, Column 1
Row 20, Column 2
Row 20, Column 3
Row 20, Column 4
Row 20, Column 5
Row 20, Column 6
Row 20, Column 7
Pet dog
Hug/ Kiss dog
Lift Dog
Push/Pull of Furniture
Approach on furniture
Disturb while at rest or /sleeping
Approach while eating
Take dog’s food away
Take bone/ chew away
Approach or take an object dog has
Dog at veterinary clinic
Unfamiliar adult enters house or yard
Unfamiliar child enters house or yard
Familiar adult enters house or yard
Familiar child enters house or yard
Response to toddlers/babies
Dog in car at drive-thru windows or gas station
Unfamiliar adult approaches owner, dog on leash
Unfamiliar child approaches owner, dog on leash
Dog in house, sees people outside
Response to other dogs, while on leash
Bark
Row 0, Column 0
Growl
Row 0, Column 1
Snarl/Bare Teeth
Row 0, Column 2
Snap
Row 0, Column 3
Bite (broke skin)
Row 0, Column 4
Bite (did not break skin)
Row 0, Column 5
No Reaction
Row 0, Column 6
N/A
Row 0, Column 7
Bark
Row 1, Column 0
Growl
Row 1, Column 1
Snarl/Bare Teeth
Row 1, Column 2
Snap
Row 1, Column 3
Bite (broke skin)
Row 1, Column 4
Bite (did not break skin)
Row 1, Column 5
No Reaction
Row 1, Column 6
N/A
Row 1, Column 7
Bark
Row 2, Column 0
Growl
Row 2, Column 1
Snarl/Bare Teeth
Row 2, Column 2
Snap
Row 2, Column 3
Bite (broke skin)
Row 2, Column 4
Bite (did not break skin)
Row 2, Column 5
No Reaction
Row 2, Column 6
N/A
Row 2, Column 7
Bark
Row 3, Column 0
Growl
Row 3, Column 1
Snarl/Bare Teeth
Row 3, Column 2
Snap
Row 3, Column 3
Bite (broke skin)
Row 3, Column 4
Bite (did not break skin)
Row 3, Column 5
No Reaction
Row 3, Column 6
N/A
Row 3, Column 7
Bark
Row 4, Column 0
Growl
Row 4, Column 1
Snarl/Bare Teeth
Row 4, Column 2
Snap
Row 4, Column 3
Bite (broke skin)
Row 4, Column 4
Bite (did not break skin)
Row 4, Column 5
No Reaction
Row 4, Column 6
N/A
Row 4, Column 7
Bark
Row 5, Column 0
Growl
Row 5, Column 1
Snarl/Bare Teeth
Row 5, Column 2
Snap
Row 5, Column 3
Bite (broke skin)
Row 5, Column 4
Bite (did not break skin)
Row 5, Column 5
No Reaction
Row 5, Column 6
N/A
Row 5, Column 7
Bark
Row 6, Column 0
Growl
Row 6, Column 1
Snarl/Bare Teeth
Row 6, Column 2
Snap
Row 6, Column 3
Bite (broke skin)
Row 6, Column 4
Bite (did not break skin)
Row 6, Column 5
No Reaction
Row 6, Column 6
N/A
Row 6, Column 7
Bark
Row 7, Column 0
Growl
Row 7, Column 1
Snarl/Bare Teeth
Row 7, Column 2
Snap
Row 7, Column 3
Bite (broke skin)
Row 7, Column 4
Bite (did not break skin)
Row 7, Column 5
No Reaction
Row 7, Column 6
N/A
Row 7, Column 7
Bark
Row 8, Column 0
Growl
Row 8, Column 1
Snarl/Bare Teeth
Row 8, Column 2
Snap
Row 8, Column 3
Bite (broke skin)
Row 8, Column 4
Bite (did not break skin)
Row 8, Column 5
No Reaction
Row 8, Column 6
N/A
Row 8, Column 7
Bark
Row 9, Column 0
Growl
Row 9, Column 1
Snarl/Bare Teeth
Row 9, Column 2
Snap
Row 9, Column 3
Bite (broke skin)
Row 9, Column 4
Bite (did not break skin)
Row 9, Column 5
No Reaction
Row 9, Column 6
N/A
Row 9, Column 7
Bark
Row 10, Column 0
Growl
Row 10, Column 1
Snarl/Bare Teeth
Row 10, Column 2
Snap
Row 10, Column 3
Bite (broke skin)
Row 10, Column 4
Bite (did not break skin)
Row 10, Column 5
No Reaction
Row 10, Column 6
N/A
Row 10, Column 7
Bark
Row 11, Column 0
Growl
Row 11, Column 1
Snarl/Bare Teeth
Row 11, Column 2
Snap
Row 11, Column 3
Bite (broke skin)
Row 11, Column 4
Bite (did not break skin)
Row 11, Column 5
No Reaction
Row 11, Column 6
N/A
Row 11, Column 7
Bark
Row 12, Column 0
Growl
Row 12, Column 1
Snarl/Bare Teeth
Row 12, Column 2
Snap
Row 12, Column 3
Bite (broke skin)
Row 12, Column 4
Bite (did not break skin)
Row 12, Column 5
No Reaction
Row 12, Column 6
N/A
Row 12, Column 7
Bark
Row 13, Column 0
Growl
Row 13, Column 1
Snarl/Bare Teeth
Row 13, Column 2
Snap
Row 13, Column 3
Bite (broke skin)
Row 13, Column 4
Bite (did not break skin)
Row 13, Column 5
No Reaction
Row 13, Column 6
N/A
Row 13, Column 7
Bark
Row 14, Column 0
Growl
Row 14, Column 1
Snarl/Bare Teeth
Row 14, Column 2
Snap
Row 14, Column 3
Bite (broke skin)
Row 14, Column 4
Bite (did not break skin)
Row 14, Column 5
No Reaction
Row 14, Column 6
N/A
Row 14, Column 7
Bark
Row 15, Column 0
Growl
Row 15, Column 1
Snarl/Bare Teeth
Row 15, Column 2
Snap
Row 15, Column 3
Bite (broke skin)
Row 15, Column 4
Bite (did not break skin)
Row 15, Column 5
No Reaction
Row 15, Column 6
N/A
Row 15, Column 7
Bark
Row 16, Column 0
Growl
Row 16, Column 1
Snarl/Bare Teeth
Row 16, Column 2
Snap
Row 16, Column 3
Bite (broke skin)
Row 16, Column 4
Bite (did not break skin)
Row 16, Column 5
No Reaction
Row 16, Column 6
N/A
Row 16, Column 7
Bark
Row 17, Column 0
Growl
Row 17, Column 1
Snarl/Bare Teeth
Row 17, Column 2
Snap
Row 17, Column 3
Bite (broke skin)
Row 17, Column 4
Bite (did not break skin)
Row 17, Column 5
No Reaction
Row 17, Column 6
N/A
Row 17, Column 7
Bark
Row 18, Column 0
Growl
Row 18, Column 1
Snarl/Bare Teeth
Row 18, Column 2
Snap
Row 18, Column 3
Bite (broke skin)
Row 18, Column 4
Bite (did not break skin)
Row 18, Column 5
No Reaction
Row 18, Column 6
N/A
Row 18, Column 7
Bark
Row 19, Column 0
Growl
Row 19, Column 1
Snarl/Bare Teeth
Row 19, Column 2
Snap
Row 19, Column 3
Bite (broke skin)
Row 19, Column 4
Bite (did not break skin)
Row 19, Column 5
No Reaction
Row 19, Column 6
N/A
Row 19, Column 7
Bark
Row 20, Column 0
Growl
Row 20, Column 1
Snarl/Bare Teeth
Row 20, Column 2
Snap
Row 20, Column 3
Bite (broke skin)
Row 20, Column 4
Bite (did not break skin)
Row 20, Column 5
No Reaction
Row 20, Column 6
N/A
Row 20, Column 7
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79
What are your expectations for your appointment with Animal Behavior Consultants
80
Please check the statement that best describes how you are feeling about your dog’s behavior problem:
I am here only out of curiosity - the problem is not serious.
I would like to change the problem, but it is not serious
The problem is serious and I would like to change it, but if it remains unchanged that’s all right.
The problem is very serious and I would like to change it, but if it remains unchanged I will keep my dog.
The problem is very serious and I would like to change it. If it remains unchanged I will consider having my dog euthanized or give him/her up.
Should be Empty: