Dog Intake/Behavioral Form

  • Dog Intake/Behavioral Form

    Completing this form does not guarantee your dog's submission into our rescue. A volunteer will contact you to discuss the next step.

  • DOG & HOUSEHOLD INFORMATION

  • Sex*
  • Spayed/Neutered*
  • Is the Doberman*
  • Tail*
  • Where did you get your dog?*
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  • What other animals has your dog lived with?*

  • BEHAVIOR

    Your dogs usual behavior
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  • How does your dog usually react when an unfamiliar person approaches or enters the yard or house?*
  • Is your dog housetrained?*
  • Is your dog crate trained?*
  • Where does your dog spend the majority of their time?*
  • How many hours a day is your dog left alone without a human?*
  • When left alone, is he/she...*
  • When left alone, does your dog usually show any of the following behaviors?*
  • When your dog plays, do they typically...*
  • What toys does your dog like?*
  • What games does your dog like?*
  • Is your dog scared of anything*
  • Is your dog allowed on furniture?*
  • Where does your dog usually sleep at overnight?*
  • What commands does your dog know?*
  • How do you exercise your dog (Please select all that apply?)*
  • Does your dog have problems riding in car?*
  • Has your dog escaped your property 2 or more times in the last 6 months?

  • AGGRESSIVE BEHAVIOR

    (behavior that has ever happened)
  • Has your dog ever attacked or bit a person?*
  • Has your dog ever attacked or bit another dog?*
  • Has your dog ever attacked or bit a cat?*
  • Has your dog ever attacked or bit farm animals? (chickens, horses, cows, goat, pig, sheep, etc...)*

  • MEDICAL

  • Does your dog see a veterinarian at least once a year?*
  • Is he/she spayed/neutered?*
  • What vaccinations has your dog recieved?*
  • Are vaccinations current?*
  • Has your Doberman been tested been tested for Dilated Cardio Myopathy (DCM), heart murmur, Von Willebrand disease (VWD)?*
  • Is your dog microchipped?*
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  • Does your dog have to be muzzled at the veterinarians?*
  • Does your dog have any past or present health problems?*
  • Is your dog currently taking any medication?*
  • Does your dog suffer from any allergies?*

  • FEEDING

  • What type of food does your dog eat?*
  • How many times a day is he/she fed?*
  • How much is fed per feeding?*

  • OTHER

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  • Date
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