Lincoln Sound Sensitivity Scale
Please describe your dog's normal response to the problem noise in terms of frequency (how often it occurs relative to the number of times your dog is scared) and intensity of each of the following behaviors by selecting the most appropriate number in each case.
Name
First Name
Last Name
Email
*
example@example.com
Dog's Name
*
Sound Triggers
Please list the sounds that trigger your dogs fear, anxiety and stress.
Additional Information
Please use this field to include any information about your dog's sound sensitivity that you would like to share with us or your veterinarian.
Frequency
To better understand your dog's potential sound sensitivity, we will first start with understanding how frequently your dog reacts in different ways to sounds that are bothersome.
Please select the frequency of each behavior when the sound is heard
Rows
Never
Rarely
Frequently
Every Time
Running Around
Drooling Saliva
Hiding
Destructiveness
Cowering
Restlessness/Pacing
Aggression
Freezing to the Spot
Barking/Whining/Howling
Panting
Vomiting/Defecating/Diarrhea
Owner Seeking
Vigilance/Environment Scanning
Bolts
Self Harm
Shaking or Trembling
Exaggerated Response when Startled
Intensity
We will now have a look at the intensity of your dog's behaviors when they do react. For each response, make your best guess about the intensity of the reaction. If your dog doesn't do the behavior, don't select any choice.
Running Around
Small amount - occasional burst of activity
Some
Frequent
Very Frequent
Exensive Amount - continuous running around
Drooling Saliva
Small amount - damp around mouth
Some
Much
Very Much
Exensive Amount - pools of saliva
Hiding
Small amount - retreats
Some
Intense
Very Intense
Exensive Amount - will not be removed from hiding area
Destructiveness
Small amount - small items e.g. pens
Some
Intense
Very Intense
Exensive Amount - e.g. holes in walls
Cowering (tail tucks, flattens ears, etc.)
Small amount - uneasy
Some
Intense
Very Intense
Exensive Amount - petrified
Restlessness/Pacing
Small amount
Some
Intense
Very Intense
Exensive Amount - fixed route continuously traced
Aggression (growling, snapping or biting)
Small amount - occasional growl
Some
Intense
Very Intense
Exensive Amount - severe biting attempts made
Freezing to the Spot
Small amount - occurs sporadically within an event
Some
Intense
Very Intense
Exensive Amount -most of the time
Barking/Whining/Howling
Small amount
Some
Intense
Very Intense
Exensive Amount
Panting
Small amount - occurs sporadically
Some
Intense
Very Intense
Exensive Amount - most of the time
Vomiting, Defecating, Urinating or Diarrhea
Small Amount
Some
Intense
Very Intense
Excessive Amount
Owner Seeking Behavior
Small Amount - seeks out owner occasionally during the event
Some
Intense
Very Intense
Excessive Amount - will not leave owner in any circumstance
Vigilance/Scanning of the Environment
Small Amount - Occurs sporadically within an event
Some
Intense
Very Intense
Excessive Amount - most of the time
Bolts
Small Amount - Occurs occasionally in response to certain noises
Some
Intense
Very Intense
Excessive Amount - Occurs always in response to a wide range of sounds
Self Harm
Small Amount - Small amount, e.g. licking feet
Some
Intense
Very Intense
Excessive Amount - e.g. broken teeth or nails
Shaking or Trembling
Small Amount -Occurs occasionally in response to certain noises
Some
Intense
Very Intense
Excessive Amount - Occurs always in response to a wide range of sounds
Exaggerated Response When Startled
Small Amount -Occurs occasionally in response to certain noises
Some
Intense
Very Intense
Excessive Amount - Occurs always in response to a wide range of sounds
Frequency Totals
Intensity Totals
Form Total
Submit
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