Dog Behaviour Questionnaire

Dog Behaviour Questionnaire

Please complete this form to help me understand your dog and household for a thorough behaviour consultation.
Do you authorise me to contact you?
All caregiver names, preferred pronouns, and ages
Phone Number
Please enter a valid phone number.Format: 00000 000000.
Email Address
example@example.com
Home Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Occupations of Adults in Household
Typical Work Hours for Adults
Regular Visitors (names and ages)
Pet's Details
Pet Name
Breed
Age
Date of Birth

DayMonthYear
Weight (kg)
Sex
If castrated, what age?
How Long Owned (years)
Pet History (where obtained, previous homes, background, pups in litter)
Food (brand/type, feeding schedule, treats, dietary restrictions, supplements)
Who feeds the dog?
How is your dogs appetite? Has it changed recently?
How is your dog fed? Is food accessible all day?
Does your dog have access to the whole home? Which places are they not allowed in? Do you have access to an outdoor space?
Where do they rest day/night? Give details is bed/floor/furniture and which room:
Did sleep patterns change at some point in their life?
Briefly describe your dogs routine on weekdays and weekends:
Exercise - collar/harness, frequency and duration, on lead/off lead, location?
Behaviour Concern 1 (please describe)
Behaviour Concern 2 (please describe)
Behaviour Concern 3 (please describe)
Other Behavioural Notes
Are there other animals in the house? Please list species, names, and ages.
What are your dog's favourite things?
What is your dog scared of? Has this always been the case or is this recent?
How long is your dog left alone at home (per day)?
How does your dog react to noises?
Does your dog show reactivity (e.g., barking, lunging)? Please describe.
Has your dog bitten anyone? Please describe.
How is your dog with visitors outside of your social circle?
Would you describe your dog as:
Have you noticed any changes in your dogs movement? Are they more reluctant to go for walks/jump on the sofa/into the car? Leaning on objects when sitting/standing? Do they ever leap/skip? Sensitive to touch? Please describe.
Medical History (illnesses, injuries, current medications, vet details)
Training History (classes, methods used, training aids)
Are you available for consults on weekdays, evenings, or weekends?

Other (please specify)
Do you consent to recording or photographs being taken to assist the behaviour assessment process?
Do you authorise me to contact your vet for their medical history?
All done!

Thank you for taking the time to invest in your dog. Please make the payment to confirm your booking. Looking forward to meeting you.
Should be Empty:

Dog Behaviour Questionnaire

Pet's Details

All done!