Separation Anxiety Questionnaire
Dog's Breed/ Mix
Where was dog aquired? (shelter/ breeder etc)
How long has dog been in your household?
How long is dog currently being left alone?
Can you adjust your schedule so that your dog will not have to be left alone during training for a while?
What is your dog currently doing that makes you concerned?
Have you done any previous training to address your dogs separation anxiety? (explain as needed)
How long would you like to be able to leave your dog alone in the future (specify in hour range such as 2-4)
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