Training Behavior Questionnaire

INFORMATION ABOUT YOU
Name*

First NameLast Name
Ocupation
Email*
example@example.com
Phone Number*
Address*

Street Address

Street Address Line 2

CityCounty

Postal / Zip Code
Other adults in home who will participate in training
List any children in the home and their age
Preferred way of communication*

EmailTextPhonecallsFB messengerWhatsAppOther
Do you live in

Flat/house (no garden)Flat/house (shared garden)House (own secure garden)Farm
ABOUT YOUR DOG

If you are inquiring about more than one dog please complete an additional form.
Name and Beed*

NameBreed
Gender

MaleFemale
Age*
Age acquired*
Neutered / SpayedEntire
At what age
Reason for your decision?
Where did you get your dog from? Include name of organisation if known.*
What do you know about the dog's background?
What Experience do you have owning a dog as an adult?
Why did you choose this breed?
REASON FOR CONTACTING US
What are your specific behaviour concerns with this dog? Please list in order of priority - high to low*
Does this happen in specific scenario?
What is your immediate response to this behaviour/s?
When did you first noticed this behaviour/s?*
Has this became..

Very suddenlyProgressively worse since first noticedSame since first noticedBetter since first noticed
What have you done so far to address this and with what effect?*
Have you consulted this behaviour with your vet? If so what was their recommendation?
What are your specific behaviour goals with this dog? List in order of priority - high to low*
What are your expectations from our collaboration?
TRAINING HISTORY
Have you had any formal training with this dog? Please name the trainer / facility*
What have you both learned?
What behaviours and cues your dog knows well?
What equipment do you use to train and walk your dog?
Has your dog ever bitten human or animal?*

YESNO
If yes please detail the intensity, frequency, date and what happened before and after each bite
Has your dog ever been bitten or attacked?

YESNO
Please detail what happened.
Does your dog has any OTHER unusual or unwanted behaviours, habits or dislikes?
Such as barking, OCD, home alone issues, housetraining etc.
DIET AND FEEDING
Do you feed your dog*

Dry kibbleDry and wet foodWet food onlyRaw / home cooked
What brand
How often do you feed your dog?
Any dietary restrictions or allergies or is your dog's diet under vets / nutritionist supervision?*
What are their favourite treats and reward
Are you willing to use food as primary reinforcer in training?
ROUTINES

and ACTIVITIES
Do you walk your dog..

1x or less per day2x per day3x or more per day
Other than regular walk, what other types of exercise, play and mental stimulation your dog gets on typical day?
How does your dog react when being handled?
How does your dog react when meeting unfamiliar people?*

Happy and relaxedGrowls or barkReady to biteShy /avoid / hideExcited / jumps
How does your dog react when meeting unfamiliar dogs?

Uninterested / happy / relaxedSniff and goesExcited / jumpsBark / snarls / growlsAvoids / shy awayStiff and stare
What do you love about your dog?
HEALTH AND VETERINARY INFORMATION
Your Vet

Name of practice

Name of preferred Vet

Phone numberCity

Email
Vet's email
example@example.com
Has your dog got any current medical concerns?*
Any past or present medical or health condition or injury?
BEFORE YOU GO
Please list names and emails of people you would like to involve in to the training.
Other family member, dog walker, groomer etc.
Do you have any other questions or concerns not mentioned above?
Are you willing to make small changes of your habits, to help move the behaviour of your dog, in the direction we are hoping for?
Without asking your dog to rehearse dangerous behaviour, are there any past videos you have that will show the unwanted behaviours happening?
Please paste a YouTube link here or send me the video via WhatApp messenger
Alternatively upload your video here

Browse Files

Cancelof
Thank you for taking the time to complete this form. Consider recording any incidents in chronological order and recording any new information and share with us before or on the day of our next session.
Should be Empty:

INFORMATION ABOUT YOU

ABOUT YOUR DOG

REASON FOR CONTACTING US

TRAINING HISTORY

DIET AND FEEDING

ROUTINES

HEALTH AND VETERINARY INFORMATION

BEFORE YOU GO