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This tool adapts elements from the Canine Behavioral Assessment and Research Questionnaire (CBARQ), a validated instrument for evaluating canine behavior.
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Name Animal:
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Name Owner:
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Hospital number (optional):
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Reference: Hsu, Y., & Serpell, J. A. (2003). Development and validation of a questionnaire for measuring behavior and temperament traits in pet dogs. Journal of the American Veterinary Medical Association, 223(9), 1293–1300.
https://doi.org/10.2460/javma.2003.223.1293
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Instructions:
For each behaviour, rate your dog's frequency over the past week using the following scale:

0: Never
1: Rarely
2: Sometimes
3: Often
4: Always
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T0Following initial consultation
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T13 months following initial consultation
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Points
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CategoryBehavior QuestionT = 0 T = 1
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Seizure-Related BehaviorsPre-seizure restlessness or pacing
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Post-seizure disorientation or confusion
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Changes in sleep patterns
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Fear and AnxietyReaction to loud noises (e.g., thunderstorms, fireworks)
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Separation anxiety behaviors (e.g., whining, destructive behavior)
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General nervousness or skittishness
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AggressionAggression towards unfamiliar people
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Aggression towards other animals
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Resource guarding (e.g., food, toys)
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Trainability and AttentionResponsiveness to commands
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Ability to focus during training sessions
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Willingness to engage in new tasks
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Social BehaviorInteraction with family members
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Interaction with strangers
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Playfulness with other dogs
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Activity LevelOverall energy levels
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Willingness to go for walks
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Engagement in play activities
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📊 Scoring:
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Total scores can help track cognitive changes over time.
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Higher scores may indicate greater cognitive dysfunction.
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