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TCHS Canine Aggression Screening Intake Form
This sheet is designed to help place your dog into an appropriate home. PLEASE BE HONEST. The information you provide will help potential adopters make an accurate decision as to whether your dog will fit into the environment they can provide.
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Email:
Your answer
Your answer
Appointment Date/Time:
Your answer
Animal Name:
Your answer
Animal #:
(office use only)
Your answer
Is aggression the primary reason for surrender?
Yes
No
Option 3
Other:
Are you afraid the dog will hurt someone?
No/Preventable
Minimal
Moderate
Severe
Other:
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