Pre-Consultation Questionnaire

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This questionnaire is meant for me to briefly evaluate what your dog needs help with, how I can help with initial tips, how to move forward with a consultation or whether a referral to a vet/ board-certified vet behaviorist may be a better option for you and your dog.

Email *

Name *

Dog's name/ age *

Phone Number *

Aggression Screening

These questions are meant to be direct and objective. Please keep in mind that I also have to assess safety appropriately, so the following questions are not meant in any way to be offensive.

Has your dog ever bitten, growled at, lunged at, or behaved aggressively towards anyone or any other animal? *

Yes

Required

Has your dog ever bruised, scratched, nicked, nipped, or otherwise, injured anyone or any other animal? *

Yes

If you answered yes to the previous question, please give an objective description of the extent of the injuries. *

Has your dog ever been quarantined or involved with animal control for any reason? *

Yes

If you answered yes to the previous question, please describe in detail below. *

Is your dog up to date on their rabies vaccination? If you are seeking an appointment to address aggression, proof of vaccination will need to be provided and if they are not, we cannot move forward with a consultation until they are. *

Yes, they are vaccinated and I can provide proof

No, they are not up-to-date

No, they aren't up to date but I have an appointment with my vet to get them up to date

Has your dog been seen by a vet for the issue you need help with? *

Yes

If you answered no, when was the last time your dog saw their vet? *

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