Dog Behaviour Questionnaire
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Clients Name
Address
Postcode
Telephone number
Vets Name & telephone number
Dogs name
Dog age
Dog breed
Sex
DogÂ
Bitch
Spayed/Neutered
YesÂ
No
At what age did you acquire your dog
From what source - i.e. Breeder etc
Any formal training
Describe the main problems
Select the main problems
House Soils Â
Jumps Up Â
Aggressive Â
Runs Away Â
ShyÂ
Chews Â
Unruly Â
Bites Â
No ObeyÂ
PicaÂ
DigsÂ
BarkÂ
Fights Â
Howls Â
Coprophagia
When does the dogs problems behaviour occur?
Where does the problem behaviour occur?
Who is present when the problem occurs?
Are there times when the behaviour is not a problem?
What is happening just before the behaviour?
Can you bring on the behaviour by doing something?
What usually happens immediately after the dog engages in the behaviour?
How do you react?
What do family members or observers do when the behaviour occurs?
Is the dog getting rewarded for the behaviour?
Is the dog getting out of doing something with this behaviour?
Diet (including Titbits)
Feeding Times
Who Feeds
Does the dog have any daily ritualistic behaviour patterns, i.e., washing, scratching, and growling etc
If so, what time of day
Who exercises it
How often
How Long
Where it sleeps
Bedroom access
Does your dog insist on physical contact
Favourite game/favourite toy
Where are toys kept
Handling/grooming response
Behaviour with other dogs
on/off lead
onÂ
off
Behaviour with other people
on/off lead
onÂ
off
Details of other dogs
Dog owned previously
 

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