Behavior Evaluation Questionnaire
Please take a few minutes to answer the questions as accurately as possible. 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!
Email address *
Your Name *
Your answer
Have you spoken or emailed with a member of the BtD staff prior to completing this form?
Dog's Name *
Your answer
Dog's Age
Your answer
Breed (or approx. weight/size if breed unknown)
Your answer
Is your dog currently on any medication? If so, what type and for how long?
Your answer
Have you completed an Assessment with Beyond the Dog? *
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