Canine Behavior Questionnaire Template

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CANINE BEHAVIOR QUESTIONNAIRE
BACKGROUND INFORMATION:
How long have you had your dog? ___________
How old was your dog when you first acquired him/her? _____________
Where did you get your dog? _____________________________________________________________
Has this dog had other owners? ________ If yes, how many? ___________
How much time does your dog spend indoors: ____% outdoors: ____% Is your dog left alone during the
day? ____ How long? _________________
Is your dog crate-trained? _____ How much time does he/she spend in the crate? _________________
Where is the dog kept when your family is home? (ie: crate, yard, garage, etc) _____________________
Where is the dog kept when your family is away? ____________________________________________
Where is the dog kept when your family is asleep? ___________________________________________
What amount of exercise or opportunity to exercise is given to the dog? __________________________
Is your dog leash-trained?__________ What type of leash do you use?(ie: choke, flat, head halter,
pinch/prong) _______________________
Has your dog had any formal obedience training? ____________________________________________
What will your dog do on command? (ie: sit, stay, come) _______________________________________
Does your dog get along well with other animals? ____ If no, please explain below:
How does this dog react to unfamiliar people?
How does this dog react to children?
Please list all people, including yourself, living in your household:
NAME
HRS AWAY FROM HOME
AGE
Please list all animals, including the one you are bringing in to see us, in your household:
NAME
SPECIES
BREED
SEX/NEUTERED?
AGE

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