• BEHAVIOUR QUESTIONNAIRE

  • General Information

    Please fill out this form completely, giving as much detail as possible. This information will be important in the assessment of your dogs behaviour.
  • Information About Your Dog

  • Dog gender and neuter status*
  • Is your dog alone during the day?*
  • People in your household (including yourself)
    Female adults      Male adults      
    Children          Ages of the Children      

  • Rows
  • Diet

  • What type of food do you feed your dog?*
  • Is your dog given any supplements?*
  • Medical History

  • Training, Play and Exercise

  • What training has your dog had to date?*
  • How successful was this training?*
  • Behaviour Problems

  • Rows
  • Rows
  • Were there any significant changes in your dog's environment prior to the appearance of the problem?*
  • Other Problems

  • Please indicate any other behaviour problems
  • And finally...

  • Should be Empty: