Dog Behavior History Form 
Please tell me about your best pet. Fill out all information that is relevant. 
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Email *
Client Name  *
Home Address 
Best Contact Phone Number 
Best Email Address 
Pet Name 
Pet Breed
Pet age at time of this form 
Pet Date of Birth 
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Pet coat color 
Pet Weight 
Pet's Sex 
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If spayed or castrated, at what age? 
Name, location and phone number  of primary care veterinarian 
Primary Goal 
Where did you obtain your dog? 
How long have you had your dog? 
Please describe the primary behavior problem(s) you would like to address? 
How old was your dog when the behavior started 
When the primary problem first occurred, what type of body language did your dog exhibit?
How often does this problem occur
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Please describe if the behavior problem is more likely to occur at a particular time of day?
How have you attempted to resolve the problem?
Please describe how your dog has responded to each of the training methods used above. 
Please describe how you currently handle the behavior problem when it occurs
Has your dog ever bitten a person or animal?
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If yes, how severe was the bite?
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Select all other behavior issues that apply 
What type of residence do you have?
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If you have a yard, please describe the size (acreage)
Is the yard fenced?
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Please describe your dogs history prior to your adoption/purchase. 
Please list all of the people who regularly interact with your dog. Include age, if they live in the home,  relationship with the family, and describe their response to the dogs unwanted behaviors. 
List all household pets. Include species, age, breed, sex, and describe their relationship with your pet. 
Please describe why you got this dog and the image/dream of your/the families relationship with this dog? 
Check all options that describe your dog when first acquired
Check all options that describe your dog today. 
Does your pet take any medications or supplements? List name, dose, frequency. 
List any known medical history ( illnesses, infections, chronic diseases, surgeries, etc) 
What is your dog's diet and feeding routine? List name of the food, quantity and frequency of feeding. 
What does your dog eat from? Check all that apply 
Describe your dogs eating habits. Check all that apply 
Do you give your dogs treats? If yes, describe type and situation. 
Does your dog like to play? 
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If yes, describe the play. (Who, what objects, when, style of play, how frequently, etc) 
How often is your dog left alone per day
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Describe how your dog responds to being left alone
Where is your dog when left alone?
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Which cues does your dog know? Select all that apply
Describe how well your dog responds to known cues when given. 
Describe where your dog sleeps 
Is your dog allowed on the furniture?
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How does your dog respond to people when on leash. Check all that apply 
How does your dog respond to people when off leash. Check all that apply 
How does your dog respond to dogs when on leash. Check all that apply 
How does your dog respond to dogs when off leash. Check all that apply 
How does your dog respond to children. Check all that apply 
How does your dog respond to going to the vet. Check all that apply 
Haver you considered re-homing your dog
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Have you ever considered behavioral euthanasia
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Please describe your dog's daily exercise routine. 
The End 
Thank you for filling out the behavior history form. We will contact you to schedule an appointment. If you do not hear from us in 24-48 hours, please contact BestBehaviorVet@gmail.com
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