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- Living Arrangement*
- Fenced Yard?*
- How much dog handling/husbandry experience do you have?*
- How much dog training experience do you have?*
- How much time do you have to commit to working with and training your dog?*
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- Dog's Breed Info
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- Age Known or Approximate?*
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- Where did you get your dog?*
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- Why did you get your dog?*
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- May I contact your vet to discuss health and behavioral issues?*
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- Does your dog have any allergies?*
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- Is your dog easily handled by vet staff?*
- Is your dog on flea and tick medication?*
- Is your dog on heartworm preventative?*
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- What type of food do you feed?*
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- Is your dog a gobbler or a grazer?*
- Has your dog ever become possessive about their food?*
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- Has your dog had prior professional training?*
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- When walking/training your dog, what equipment do you use?*
- What type of leash do you use?*
- When unsupervised, where is your dog kept?*
- Where does your dog sleep at night?*
- How many hours per day does your dog spend alone at home (in or out of a crate)?
- How many hours per day does your dog spend in a crate?
- Is your dog potty trained?*
- Please check all behaviors that apply to your dog:*
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- Please select one of the following:*
- What are the main issues you are concerned about?*
- Please check any of the following that coincided with the change in your dog's behavior*
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- If steps have been taken to address the issue, did your dog's behavior improve, worsen, or stay the same?
- My dog has bitten another dog*
- Please check all that apply*
- My dog has bitten a person*
- Please check all that apply*
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- How many times has your dog bitten another animal or person?
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- Date of Incident*
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- Was your dog on leash?*
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- Did your dog give any warnings?*
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- Was there a bite?*
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- Did it cause bruising?*
- Did it break skin?*
- Were there puncture wounds?*
- Was medical attention sought?*
- Was the bite reported?*
- Was legal action taken?*
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- Date of Incident*
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- Was your dog on leash?*
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- Did your dog give any warnings?*
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- Was there a bite?*
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- Did it cause bruising?*
- Did it break skin?*
- Were there puncture wounds?*
- Was medical attention sought?*
- Was the bite reported?*
- Was legal action taken?*
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- Date of Incident*
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- Was your dog on leash?*
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- Did your dog give any warnings?*
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- Was there a bite?*
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- Did it cause bruising?*
- Did it break skin?*
- Were there puncture wounds?*
- Was medical attention sought?*
- Was the bite reported?*
- Was legal action taken?*
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- Should be Empty: