Behavior Evaluation Form

If you have adopted a dog (not a current foster), please create a profile in our online portal instead of filling out this form. Click here to be taken to our online portal.

This form is for dogs who are fostered through one of our rescue affiliates.

If you have any questions or need help signing up for a consultation, please call us at (773) 638 - 7768 or email info@seespotrunkennel.com

Client Name(s)

Email(s)

Phone(s)

Address

Availability

Dog's Name

Dog's Age (date of birth if known)

Dog's age when adopted or purchased

Sex of Dog

Spay/Neuter Status

Breed or Type

Name and location of breeder or rescue organization

Describe three things you like about your dog or enjoy doing with him/her

Are your dog's vaccinations current?

Veterinarian or Veterinary Hospital with your dog's records on file

What is the main problem or concern?

Please check off any additional issues

Are you concerned about losing physical control of your dog? (Leash being pulled out of hands, being knocked over, etc.)

If guards, please explain.

If aggressive, please explain.

If has bitten or caused injury to a person, please explain.

If has bitten or caused injury to another dog, please explain.

If other, please explain.

Describe the most serious incident that has so far occurred (please note when this happened).

Describe the most recent incident.

How often is the main problem occurring?

This problem is increasing in

What have you done to address or correct the above issues? Please indicate specific tools and methods if any.

Were these methods effective?

If you have worked previously with a trainer, behavior consultant, or veterinary behaviorist, please indicate when and what that work entailed.

What are your most urgent priorities?

What are your long-term goals for your dog?

Do you have a specific training program in mind?

How will you choose a trainer or training program?

How did you find See Spot Run?

How many adults reside in your household?

How many children?

What other pets do you own?

How many visitors come to the home on average each week?

Is this your first dog?

In what style of home do you live?

Do you have a yard?

Where does your dog sleep?

Do you crate your dog? If so, when and how does he tolerate it?

Do you ever confine your dog to a room or area of the house?

How much time does your dog spend loose in the home unattended?

How did you choose your current dog?

Do you know or were you given information regarding your dog's parents, littermates, or early history?

Is your dog social with new people?

Is your dog social with other dogs?

How much social interaction with other dogs has your dog had, either on-leash or off?

Do you visit dog parks or send your dog to daycare? If so, where and how often?

Has your dog ever boarded at a boarding facility? Did you get any feedback from the facility about your dog's stay?

Describe your dog's play style or manner of interaction with other dogs?

Check off any commands or skills you have taught.

If you have trained with a food marker (ex: a clicker, "yes!", or "good"), please indicate it here.

If you have trained with a release word (ex: "free," "okay," or "break"), please indicate it here.

What equipment do you currently use to walk your dog?

Is there any equipment you've used in the past?

Is there any equipment you are interested in using in the future?

What do you feed your dog, how often, and how much?

Is your dog under or overweight?

How much does your dog weight?

Does your dog suffer from allergies?

Please list any current or recent medications. If current, please give dosage and schedule.

Has your dog been diagnosed with, or do you suspect, any medical conditions?

Has your dog ever suffered any serious injuries?

If your dog has bitten, was it reported? Please give details.

Was skin broken or medical treatment required? Please give details.

When did you first notice signs of aggression?

Check any known or suspected aggression triggers.

Is there anything else in your dog's history that we should know?

Trainer notes

Please confirm the following:

Foster Consultation Form

Dog Information

Vaccinations

Reason for Behavior Evaluation

Household Information

General History

Health History

Aggression History

Last Words