Dog Profile Questionnaire Template
Download a blank fillable Dog Profile Questionnaire Template in PDF format just by clicking the "DOWNLOAD PDF" button.
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Complete Dog Profile Questionnaire Template with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
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4Animal ID: ___________
MED Initials: __________
CSS Initials: __________
BEH Initials: ___________
Intake Date: ___________
DOG PROFILE
The following questionnaire provides us with information about how your dog behaved in many different circumstances while he or
she was living with you. Because your dog is likely to behave in similar ways in his or her new home, this information will help us
find the most suitable home for your dog and to effectively counsel the new family. Your open and honest answers are appreciated,
so that we can make a successful match as we try to find your dog his or her forever home.
1. Dog’s Name ____________________________________________________
2. Sex
Male
Female
Neutered
Spayed
3. Breed _________________________________________________________
4. Age __________
5. How long have you owned this dog?___________________________________________________________________________
6. Why are you surrendering this dog? ___________________________________________________________________________
7. Including yourself, how many people of the following ages live in your house?
Please fill in the boxes
Age Range (Years)
Female
Male
0 – 3
4 – 9
10 – 17
18 – 29
30 – 59
60 +
8. What other animals did your dog live with?
Dogs
Cats
None
Other (please describe) _____________________________________
9. How does your dog usually behave toward the following?
Please check the boxes
Never
Shows
None of
Friendly
Snaps
Bites
Encounter
teeth/growls
These
People your dog knows
Men
Women
Children
Unfamiliar People
Men
Women
Children
Animals your dog knows
Dogs
Cats
Unfamiliar animals
Dogs
Cats
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