Behavior Consult Questionnaire
Please answer these questions so we can better help you:
Email address *
Cat or dog? *
Pet's name *
Your answer
Breed (if known)
Your answer
Age *
Your answer
Owner first name *
Your answer
Owner last name *
Your answer
Phone number *
Your answer
Please describe the problem you are having with your pet. When/where does it happen most often?
Your answer
When did the problem first start? How frequently are you having the problem now?
Your answer
What made you decide to seek help for this problem now? Did the problem change or get worse recently?
Your answer
What have you already tried doing to fix the problem? What was the impact, if any?
Your answer
Can you tell me a bit about your animal’s history? How long have you had him or her?
Your answer
When was the last time your pet saw a veterinarian? Did you discuss this issue with him or her and what was the recommendation? Does he or she currently have any medical issues or is on any medication?
Your answer
What is your household like? How many members are there (human and animal)? What is your pet’s daily life like?
Your answer
Has your pet ever injured a person or animal? *
If yes, please explain.
Your answer
Is there anything else you think we (the trainers) should know about your pet or the situation?
Your answer
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