Clone of Profile: A Behaviour Consult for Dogs

  • Client Details

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  • Members of the Household

    Please list all people and animals currently living in the household, including yourself and the dog you are presenting. Please also list any other people and/or animals that your dog frequently interacts with.
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  • General Practice (GP) Vet

    It is a requirement of ABC that your dog has had a recent health check with your GP veterinarian prior to initial behaviour consultation. A blood test (CBC, biochem, T4) is recommended if safe to do so, but not mandatory, and can be discussed further during consultation if you have any concerns about this procedure. Please either upload a copy of your dog's medical records and blood test below or ask your GP vet clinic to email them to emma@animalbehaviourcoaching.com.au prior to your initial consultation.
  • Can ABC contact your GP vet?
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  • Other Businesses

    If your dog visits another business regularly (eg groomer, boarding, daycare), please provide their details in the expandable section below.
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  • Pet Insurance

  • Do you have pet insurance?
  • Does your insurance cover behaviour?
    • Pet Insurance Details 
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    • Community Impact

    • Have you had any complaints from your neighbours/the community about your dog?
    • Complaints details 
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    • Has your dog been issued a Council Control Order, or have you received an intention to place an Order (barking/nuisance/menacing/dangerous dog)?
    • Order details 
    • I give ABC permission to contact this Council regarding my dog's behaviour.
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  • Medical History

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  • Please select all that apply to your dog:

  • Presenting Problem(s)

    What problem(s) or concerning behaviour(s) is/are your dog displaying or why are you seeking behavioural help?
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  • Have you sought advice for any of these problems?
    • Advice details 
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  • Thoughts & Feelings

  • Please select all that apply in relation to your dog's behaviour:
  • Please select the statement that best suits your dog's behaviour.

  • Household

  • Please describe your dog's environment.

  • Does your dog reside at the given address?

  • Do you own this property?

  • Early Life

  • Daily Life

    Briefly describe a typical day in the life of your dog at the moment. It is recommended that you take short videos to represent each of these time frames to show in consult.
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  • Home Alone

    The word "alone" in these questions refers to the absence of people, not other animals.
  • Tick all that currently or historically apply when your dog is home alone:

  • Sociability

  • Has your dog ever bitten a person?
  • Has your dog ever bitten another animal?
    • Biting details 
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  • Other Behaviours

  • Are you having issues with any of the following (check all that apply)?

  • Has your dog shown concern, become worried about, or aggressive in response to any of the following (check all that apply)?

  • Training

  • What equipment have you used on your dog (check all that apply)?

  • Please select all methods used to train this dog:

  • When did you last attend dog training classes?
  • Methods used?

  • Final Thoughts

  • How did you find out about Animal Behaviour Coaching?

  • Owner checklist prior to initial consultation (if you haven't already uploaded as part of this form, please email to emma@animalbehaviourcoaching.com.au or bring a hard copy with you):

  • Informed Consent for Treatment

    Animal Behaviour Coaching
  • Date
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  • Appointment Booking

  • Thank you for your time and effort taken to complete this profile. It is much appreciated and we look forward to helping you and your dog soon.

    If the Submit button comes up with an error (eg "one or more fields are required"), please Save or Print your form and email to admin@animalbehaviourcoaching.com.au or call me on 08 8755 1732 for assistance.

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