Dog Behavior History
Please help us get to know your dog by completing this form. Please take your time and give descriptive answers.
电子邮件地址 *
Your Name: *
Phone Number: *
Address: *
Today's Date: *
年
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月
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日
Your Dog's Name: *
Dog's Breed: *
Dog's Age: *
Dog's Sex: *
Age Neutered: *
Where did you get your dog? *
What was your dog's history before he became yours? *
Why did you choose this dog? *
What makes you believe this dog is suited to become your Service Dog? *
What are some concerns you have regarding your dog's suitability as a future Service Dog? *
Have you ever had a Service Dog before?
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If you answered yes to the previous question, please elaborate about your past Service Dog, including where and when you obtained her, where she was trained, and why her service ended. (If you answered no in the previous question, please respond "N/A") *
Do You have any other pets now? Please list all species, breeds, ages, and where they live: *
Have you had any other pets in the past? Please list their species, breeds, ages when they died or where rehomed, and whether they died while living with you or were rehomed: *
Did you ever have to rehome or euthanize a pet due to behavior problems? Please elaborate if you answer "yes": *
Do you have a current treating veterinarian? *
How many years have you worked with this veterinarian? *
How does your dog respond to other dogs? *
How does your dog respond to animals other than dogs? *
How does your dog respond to familiar adult people? *
How does your dog respond to unfamiliar people/ strangers? *
How does your dog respond to familiar children? *
Does your dog respond differently to familiar children of different ages, including babies and toddlers? Please elaborate: *
How does your dog respond to unfamiliar children? *
Does your dog behave differently with unfamiliar children of different ages, including babies and toddlers? Please elaborate: *
How does your dog respond to new sights, sounds, and unfamiliar environments? Please elaborate: *
Where does your dog sleep at night? *
Is your dog potty trained? Does your dog have accidents in the house? Please elaborate: *
How many hours does your dog spend in the house when no one is home? *
Where does your dog stay when home alone? *
How does he behave when left alone? Any separation anxiety? Please elaborate: *
How often do you walk your dog, and how far/ where to? *
Have you participated in any training with this dog? Please elaborate: *
Have you participated in professional training with any other dogs in the past? *
What sort of training approach are you most familiar and comfortable with? *
Does your dog have any behavior problems? Please elaborate: *
How do you discipline your dog for unwanted behavior? *
How do you reward your dog for wanted behavior? *
How do you envision your dog helping you? What tasks would you most like to teach your dog to perform to aid you with your PTS? *
What sorts of things have you already taught your dog? *
What percentage of the time does your dog correctly respond to your cues ("commands")? *
Describe what you love best about your dog: *
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