Dog Behavior and Handler Assessment Form

Dog Behavior and Handler Assessment Form

This form evaluates the dog's behavior, attachment to the owner, and the handler's connection with the dog to support behavioral analysis.
Handler's Full Name*

First NameLast Name
Handler's Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Handler's Email Address
example@example.com
Dog's Name*
Dog's Age (in years)*
Dog's Breed*
How connected do you feel to your dog?*

1

2

3

4

5

1 is Not connected, 5 is Very connected
How connected do you think your dog feels to you?*

1

2

3

4

5

1 is Not connected, 5 is Very connected
Calm and relaxedPlayful and energeticAnxious or nervousAggressive or defensiveOther
Barking excessivelyChewing furniture or belongingsJumping on peoplePulling on leashShowing fear or avoidanceSeeking attentionDestructive behaviorOther
On a scale of 1 to 5, how would you rate your dog's attachment to you?*

1

2

3

4

5

1 is Weak attachment, 5 is Strong attachment
Please describe any specific behavioral issues or concerns you have about your dog.
Describe how your dog reacts to new people or environments.
Describe your dog's typical daily routine and interactions with family members.
Should be Empty: