ECFBR Dog Temperament Questionnaire Form

ECFB Rescue Intake Form
Dog Temperament Questionnaire
We understand that rehoming your dog is an extremely difficult decision. We will do everything we can to make this process as simple as possible. The More information you provide to us the better able we will be to find the best possible home for your dog.Please fill out as much information as possible.
I am a *

Member of the public needing to surrender my own pet ECFBR Approved Foster Home Vet / Shelter Employee Seeking Rescue Assistance Member of the public who found a stray Animal Networker/Crossposter
If stray, what date did you find it and where did you find it (intersection/town/province)?
Today's Date *

Month Day Year
Your Full Name *
Your Email *
Your Phone *
Your Address *
Dog's Name (if stray, type stray) *
Breed *
Color(s) *
Age (provide birth date if possible) *
Weight *
Has this dog been sterilized (spayed or neutered)? *
Is this dog up to date on vaccinations? *
Date of last rabies vaccine *
Microchip number *
Type N/A if not chipped
Is this dog registered and is the registration being surrendered? *
Type N/A if not registered
Where did you get this dog from? (Breeder? Rescue? Pet Store? Classified ad? Given to you? *
If you purchased from a breeder please supply breeder's name
If you purchased dog from a breeder or adopted from a rescue did you contact breeder/rescue to return dog to them? *
Enter n/a if you did not get the dog from a breeder or rescue.
By typing my full name here I confirm that I am the owner of this dog and have legal right to give him/her away *
Type N/A only if you are not the owner
Health? *

Sick Injured Obviously Pregnant Possibly Pregnant Healthy/appears healthy
Socialization *

Sweet and social A little shy but warms up when you're nice Very shy Frozen with fear Fear biter Aggressive
Has this dog ever bitten anyone? *

Yes No
How does this dog behave around men? *

Loves men A little bit shy/scared of men Very afraid of men Fear biter around men
How does this dog behave around women? *

Loves women A little bit shy/scared of women Very afraid of women Fear biter around women
How does this dog behave around children under 10 years old? *

Loves kids Too energetic or rough for young children Very gentle with children Seems afraid of children Fear biter around children May growl or snap at children Growls when child approaches food or toy
How does this dog behave around strange dogs? *

Runs up to them to play Greets appropriately (nose to tail sniffing) Stares the other dog down and may stiffen muscles Seems submissive or scared of other dogs Will show the other dog their side or back end Turns head away when the other dog stares at it No sense of personal space, just gallops up to the other dog and expects the other dog to be fine with that Lunges, barks, growls and/or shows aggression
How does this dog behave around other dogs and high value food, treats or toys? Check all that apply: *

Lets the other dog take it. Posture is relaxed, no muscles tensed. Stares the other dog down. Muscles tense when other dog approaches. Head goes down over the food/toy as other dog approaches. Gobbles the food faster. Growls at the other dog. Bares teeth at the other dog. Snaps/snarls at the other dog, clearly guarding the food/toy. As other dog approaches, this dog backs away from the food bowl. Seems very carefree and unconcerned about holding onto food or toys when other dogs are around. Has not been tested around other dogs
How does this dog behave around cats? *

Sniffs cat in crate but seems disinterested Sniffs free-roaming cat but seems disinterested Seems a little scared of cats Seems interested in playing appropriately with cats Thinks cats are chew toys Appears to have a prey drive wants to chase and harm cats. Very much NOT cat safe. Thinks cats are really fun to chase but if caught does not do any harm. Seems to be more about the chase than the cat. Not tested around cats, no cats here to test with That cats feel safe enough to use this dog as a couch
Leash/Collar training? *

Freaks when you put a slip lead on Already wearing a collar and used to it Freaks when you put a collar on Used to harness but not collar Pulls strong on leash Pulls a little on leash Seems very well leash trained, walks nicely on leash
Housebreaking training?

Not housebroken at all Crate trained Marks indoors Partially housebroken, but doesn't know how to tell you when needs to go outside Solidly housebroken, will bark or pace or scratch door to go outside Can hold it overnight even if not crated Learning crate training Unknown New arrival. Just started training.
Car rides? *

Loves the car, rides great. Sits in back seat Jumps right in Needs help to get into car but likes to ride Seems unsure of getting into car Fearful of the car Drools but does not vomit during rides Gets carsick Sleeps during car rides Must ride crated Very hyper in car Very nervous, pants and whines
Nail trimming?

Does great! Not bad, a little nervous Pretty nervous, we have to do a few nails at a time and take breaks Seems not used to nail trims. Gets very stressed and needs training in this area We haven't tried to trim nails yet
Any additional comments regarding temperament that haven't been covered by the questions above? *
Any past or current health issues? Please describe and include treatment given if any. *
Please supply vet information and give your vet permission to send us the medical records if you do not have a copy. *
Please tell us what the dog eats (brand, raw/dry/canned), how much and how often. *
What is your reason for surrender?. *
Please take 2 or 3 good quality, well lit photographs of the dog and email them to us at
info@ecfbrescue.com with your name and the animal's name in the subject of the email.
Should be Empty:

ECFB Rescue Intake Form

Dog Temperament Questionnaire