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Wolf Song Acres K9 Academy
Behavior Consult Questionnaire
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Client Information
Full Name
Your answer
Address
Your answer
Phone
Your answer
Email Address
Your answer
Veterinarian
Your answer
How did you hear about us?
Your answer
Dog Information
Dog’s Name
Your answer
Breed
Your answer
Age
Your answer
Sex
Male
Female
Clear selection
Spayed or Neutered
Yes
No
Clear selection
Age when spayed or neutered
Your answer
Was your dog spayed or neutered due to a behavior problem?
Your answer
Did you notice a difference in your dog after spaying or neutering?
Your answer
Are your dog’s vaccinations up to date?
Your answer
What type of exercise does your dog receive and how often?
Your answer
When is your dog fed?
Morning
Evening
Both
What do you feed your dog?
Canned food
Dry food
Table scraps
Raw diet
If you feed dog food, which brand is it?
Your answer
Which best describes your dog’s eating habits?
Fussy
Eats all food at mealtimes
Other:
Does your dog like children? If not, explain
Your answer
Please explain how your dog gets along with other animals in the household
Your answer
How does your dog react to guests and strangers?
Your answer
How does your dog react to unknown dogs?
Your answer
Previous Training
Has your dog ever been to obedience school or private lessons? If so, where did your dog attend and for how long?
Your answer
Does your dog pull on the lead when being walked?
Yes
No
Clear selection
What equipment do you use to walk your dog? ie flat collar, check chain, harness, flexi lead
Your answer
What is your dog’s most undesirable behavior?
Your answer
Please list all other undesired behaviors in order of highest priority to lowest
Your answer
Aggression
Describe any and all instances of aggression including, lunging, growling, biting or baring teeth:
Your answer
Final Comments
Any additional comments or information you think I should know?
Your answer
To the best of your knowledge, have you ever had a dog with parvovirus on your property?
Your answer
Does your dog have any medical conditions? If so, please explain, including any medications that your dog is on
Your answer
General Information
How old was your dog when you acquired it?
Your answer
Has the dog had previous owners? If yes, please explain
Your answer
Where did you get your dog?
Breeder
Pet Store
Animal shelter
Friend
Other:
Is your dog allowed inside? If no, why is this? If yes, how often?
Your answer
Is your dog allowed outside? If no, why is this? If yes, how often?
Your answer
How does your dog feel about food? (Kibble, training treats, etc.)
Normal appetite
Gluttonous
Not interested
If your dog doesn’t eat all food at once, how long is the food left down?
Your answer
Where does your dog sleep?
On the bed
Kennel
On own bed, inside
On own bed, outside
In a crate
Other:
Does your dog have any toilet training problems?
Your answer
Family & Other People & Animals
Please describe the social layout of the family (people and pets) and the dog’s place in it
Your answer
Has your household changed since acquiring the dog? If so, please explain
Your answer
Dog Selection
Why did you decide to get a dog?
Companion
For child
Protection
Did you notice anything unusual as a puppy?
Your answer
Why did you choose this breed?
Your answer
Have you owned other dogs in the past and if so which type/s?
Your answer
While You Are Out
Describe your dog’s reaction to being left alone?
Your answer
Where do you leave your dog when you go out?
Your answer
Describe your dog’s reaction when you return home
Your answer
Do you use a crate?
Yes
No
Clear selection
If your dog shows problems when you leave, has there been a change in frequency or severity of the problem? Please describe
Your answer
What have you tried so far to fix the problem?
Your answer
Why do you think the dog is displaying these behaviour problems?
Your answer
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