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NEW CLIENT  QUESTIONNAIRE
NEW CLIENT  QUESTIONNAIRE
Please complete this form in as much detail as you care to. Sometimes the smallest details reveal the biggest answers. The more information that you can provide in advance, the more time can be put towards working with you and your dog.
 We suggest setting aside at least 20 minutes. If you'd like to tell a longer story we’re happy to read even more! If you feel a section is not relevant to the current situation with your dog, do feel free to omit it. NOTE: DO NOT click browser back while in progress as data entered may be lost. (It is suggested to use a computer rather than a mobile device.)
69Questions
Paw in Hand - New Client Questionnaire
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  • 2
    If you are inquiring about more than one dog, please complete an additional form.
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    The more details the better. This is the most important part of the history form. What seems to trigger the behaviour? When, where, and how often? Who is present? When does it NOT happen? When did you first notice signs?
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  • 12
    What seems to trigger the behaviour? When, where, and how often? Who is present? When does it NOT happen? When did you first notice signs?
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  • 21
    Eg. Home breeder, street dog, littermates, trauma in transport, previous owner, etc.
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  • 22
    If yes, please list names, breed/type, ages and sex. 
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  • 23
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  • 25
    Eg. Family dynamics, conflict regarding your dog, recent move, neighbourhood activity, job schedule change, family changes, baby, someone in family afraid of dog, etc.
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  • 26
    Please be specific. Brand name, variety, canned, dried, raw, home cooked, etc.
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  • 27
    1 - 5 (finicky ... voracious)
    • 1 - finicky
    • 2 - somewhat fussy
    • 3 - average
    • 4 - eager eater
    • 5 - voracious
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  • 28
    Include where, when, how often, who feeds, special routine, etc.
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  • 29
     If yes, please describe. For example, stiffen, snarl, snap, etc.
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  • 30
    Please describe. Include any challenges. Fetch but doesn't bring ball back, tug, hide and seek, etc. 
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  • 31
    Please describe. Include how often, where, etc. 
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  • 32
    Please list. Leash (regular leash, retractable leash, long line, etc.), collar (buckle collar, martingale collar, prong collar, chain collar, etc.) front attach harness, head halter, muzzle, etc. Have you tried anything different in the past?
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  • 33
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  • 34
    Please describe. Include how often, where, etc. 
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  • 35
    Please describe. Include why, why not, how often, where, etc. 
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  • 36
    If yes, please describe. For example, rushes and barks at joggers, chases cyclists, circles around children, etc.  
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  • 37
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  • 38
    Please describe. Include where left, how do they act upon arrivals and departures, etc. 
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  • 39
    If no, please describe.
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  • 40
    Not allowed on any furniture, only allowed on dog couch, not in bedrooms, etc. 
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  • 42
    Don't worry, in your bed is usually just fine :) 
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  • 43
    And are you okay with that? Don't worry, begging is usually not a problem unless it is a concern to you :) 
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  • 44
    Please describe any details. Location, yard, door, who is home, bark or not, how long, jump, mouth, calm, etc.
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  • 45
    Please describe any details. Location, yard, door, who is home, bark or not, how long, jump, mouth, calm, etc.
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  • 46
    Please describe any details that may be relevant to your situation. How often, length of destination, vehicle type, where in the vehicle do they ride, etc.
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  • 47
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  • 48
    Please describe. Calm, struggles, resist certain parts, bites, uses a muzzle, etc.  If you use the services of a groomer, how does your dog act there? 
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  • 49
    For example, soils indoors, marks indoors, submissive or excitement urination, etc.
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  • 51
    For example, great at stay, comes when called every time, etc. Tricks count :)  
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  • 52
    (Other than your main presenting problem) For example,never comes when called, counter jumping, etc. 
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  • 53
    Be specific. For example, praise, petting, dried liver, egg, chicken breast, salami, cheese, tennis ball, frisbee, stick, wrestle, etc.
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  • 54
    Example: interrupt, redirect, time out, verbal reprimand, physical reprimand, scruff, muzzle grab, alpha roll, squirt bottle, throw chain, shake can, choke collar, pinch collar, citronella collar, electronic/stimulation/shock collar, etc.
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  • 55