Behavior Evaluation Questionnaire
Please take a few minutes to answer the questions as accurately and honestly as possible. The more information we have, the more successful the results!

This form will guide you to answer only the questions applicable to your dog's behaviors - you will not necessarily need to answer every section. The form should take 5-10 minutes to complete.

We appreciate your participation in helping us recommend and design the most effective treatment protocol!

***If you dog engaged in SEVERE problem behavior, we will contact you to schedule a 15 minute phone consultation with a trainer PRIOR to scheduling.***
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Email *
Your Name *
Phone Number: *
Prefer to be contacted via: *
Best time of day to contact:
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Which location are you working with?
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Your Address *
Have you spoken or emailed with a member of the BtD staff prior to completing this form?
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If yes, what was the recommended training program?
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I am submitting this: *
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