Dog Training Behavior Questionnaire Form
ADVERTISEMENT
1
2Dog Training Behavior Questionnaire – Online Form
General Information
Parent`s Name______________________________________Date________________
Address___________________________City_____________State__________Zip__________
Home phone_________________Cell phone_____________Work phone___________
Best way to reach you____________________________________________________
Email address___________________________________________________________
Veterinarian________________________________Vet`s phone number________________
How did you hear about us?________________________________________________
Your Pet
Pet`s Name________________________ Breed/mix____________________________
Age________Color_________________Weight____________Birthdate____________
Sex M F (circle one) Status
Intact
Spayed
Neutered / Spayed (circle one)
Age when altered__________
Did you notice any short or long-term changes in your dog's behavior after altering?
Yes
No
Was your dog altered because of a behavior problem? If yes, please explain:
Yes
No
Are your dog's vaccinations up to date?
Yes
No
Does your dog have any medical conditions?
Yes
No
If yes, please explain:_
Is your dog currently given any medications? If yes, what medications?_
Where did You Acquire Your Dog?(List breeders name, shelter, pet store etc)
Behavior of parents or litter mates
Environment/Lifestyle
How old was your dog when you acquired it?________________________
Has the dog had previous owners? If yes, please explain: __________________________
How does your dog spend a majority of its time?
How often your dog is exercised? ____________________________________________
How long? More than…
10min.
45min.
1hour
2hour
Briefly describe your dog's exercise routine:
Does your dog have any exercise restrictions? If yes, please explain
Has your dog been crate trained?
Y
N
Do you still use the crate? Y
N
How many hours a day is your dog kept in the crate? Less than: 5 hours
10 hours
15 hours
Family Relationships
List each family member include sex and age
Has your household changed since acquiring your dog? Yes
No
If yes, please explain:
Does your dog enjoy children?
Yes
No
If not, please explain
List all other pets, including breed age and sex
Please describe your dog's interaction with other animals in the household
Describe how your dog reacts to guests and strangers:
Describe your dog's behavior around other dogs:
Training
Has your dog had obedience training? Y
N
If yes, was it:
Private
Group
How many weeks of training?
___________________________
What training school or professional trainer/behaviorist did you use?
Do you know what training methods did the trainer used?
Briefly describe your impressions and benefits from training
What do you consider your dog's most undesirable behavior?
When did you first notice the problem ?
How would you describe the severity of this problem? Mild Moderate
Severe
How often does the problem occur?
Frequent
Occasionally Rarely
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life