Behavioral Questionnaire
This questionnaire will provide Arfordable Dog Training with your dog's history, behavior, and how we can help. Please be descriptive and objective in your answers. The more information we receive, the better.
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Email *
Pet Parent's Full Name *
Street Address *
City, State and Zip Code *
Phone Number *
Your Dog
Dog's Name *
Gender
Clear selection
Intact, Spayed, or Neutered? When? *
Breed *
Weight *
Birth Date *
Does your dog have any known allergies or sensitivities? *
When did you get your dog? *
Do you have information about your dog's history before you acquired them? *
What are you hoping to accomplish with training? *
How did you hear about us? *
What service are you most interested in? *
What is your current training availability? *
How long has your dog had the issue you are seeking training for? *
Have these issues gotten better, worse or stayed the same in the last year? *
Is there any place your dog does not like to be touched? *
Is your dog afraid of anything? (Thunder, children, etc.) *
Is your dog up to date on Rabies, Bordetella, DHLPP (Distemper, Lepto, Parvovirus), and Canine Influenza? *
Does your dog have a negative fecal exam within the past 3 months? *
Does your dog have any existing health issues? *
Is your dog on any medications or supplements? *
What food brand do you feed your dog and how (bowl, slow feeder, etc.)? *
Is this your first time owning a dog as an adult? *
Does your dog use a crate regularly? *
Where is your dog when left alone in the house? *
How long is your dog left alone on average? *
How does your dog react to being left alone? *
What reliable cues does your dog know? *
Does your dog chew destructively when you're not home? If so, on what? *
How much purposeful exercise does your dog get each day and what kind of exercise? *
If you go near or touch your dog's food dish when he's eating, will he bite, show teeth, snap, growl or "freeze" in place? *
If your dog has something in his mouth and you take it away, how does he react? *
If you try to move your dog off a bed or furniture, how does he react? *
What is the typical reaction when meeting or seeing dogs on leash? *
Is his reaction the same off-leash? If not, how is it different? *
How often does your dog interact with other dogs that do not live with you? *
How does your dog react around other small animals (Cats, squirrels, etc.) *
Your Family
Have you experienced a change in the family recently or are you expecting a change in the future? (New baby, new dogs, recently moved etc.) *
Do you have any children in the home? If so, what are their names and ages? *
Have you ever been concerned about your dog's interaction with family members? Why? *
Are there other dogs in the house? Please list names, breeds, ages, and how long they have lived with you. *
In what order did they join the family? *
Do you have any other pets in the home? *
Your Dog's History
Have you ever taken any obedience or training in the past? If so, where and with whom? *
Has your dog ever bitten a dog or human (this includes air snap)? How many times? Please describe in detail. *
What is your dog’s behavior when an unfamiliar person(s) visits your home?
 *
What does your dog behave when an unfamiliar person tries to touch or pet the dog?
 *
When out and about, how easily distracted or preoccupied by smells (i.e., engages in persistent sniffing of ground or objects) is your dog?
 *
What is the level of difficulty of shifting your dog’s attention away from interesting or distracting stimuli (e.g., other dogs, smells, people, small animals, etc.)?
 *
Does your dog display a strong attachment for one particular member of the household?
 *
Is there a slow recover for your dog after being startled or frightened (appears anxious/fearful long after the event)?
 *
How does your dog behave when being examined/treated by a veterinarian?
 *
Who is your veterinarian?
 *
When first exposed to unfamiliar situations (e.g. first car trip, first time in elevator, first visit to veterinarian, etc.) how does your dog respond?
 *
Please list three things you love about your dog. *
I hereby declare that the information provided is true and correct. I also understand that any willful dishonesty may render for refusal of training services. *
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A copy of your responses will be emailed to the address you provided.
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