JavaScript is required

Please enable JavaScript in your browser to continue.

The Dog Connection Behavior Questionnaire

Please fill out this field.

I understand to complete this form *separately* for each dog whose behavior we will be assessing.

Please check this box to continue.

Dog Name:

Please fill out this field.

Dog Date of Birth:

Breed:

Please fill out this field.

Weight:

Please fill out this field.

What is your Occupation:

Please fill out this field.

Are you the legal owner of the dog?

Yes

Who is/are the primary caretaker(s) of the dog?

Please fill out this field.

Relationship dynamics (select all that apply):

We are BEST friends.

My dog's needs/behaviors overwhelm me.

I am struggling to connect with or like my dog these days.

My dog's behavior worries me greatly.

My dog's behavior has caused safety concerns.

I am afraid of my dog.

My dog is overly attached to me or another caretaker.

Our relationship brings me both joy and fear/anxiety/stress.

I fear my dog doesn't like me.

I love my dog, but we are struggling.

Me and my dog are great, but we have issues with other family members or pets.

My dog's behavior embarrasses me.

Veterinarian:

Please fill out this field.

Date last seen by vet:

Please fill out this field.

Have you ever spoken with your vet about behavioral concerns? If so, what was their feedback>?

Please fill out this field.

Has your dog ever been on behavioral medication?

Yes

Please fill out this field.

Does your dog eat meals quickly, moderately or slowly?

Please fill out this field.

Does your dog eat out of a bowl, slow feeder, or enrichment toy?

Please fill out this field.

What treats and snacks does your dog love the most?

Please fill out this field.

How much sleep do they get at night?

Please fill out this field.

Where do they sleep overnight?

Please fill out this field.

How much sleep do they get throughout the day?

Please fill out this field.

Where do they like to nap?

Please fill out this field.

What are your dog’s favorite enrichment activities:

Decompression/sniff walks

Playtime with a human

Playtime with a dog

Playtime with a toy/activity

Sunbathing

Digging

Sniffing

Treat dispensing toys

Zoomies

Chewing

Shredding/dismantling

Training games

Puzzle toys

Cuddles with a favorite human or dog

Swimming

Nose work

Dog Sports

Hunting

Lick treat

Other

Please fill out this field.

Home type:

House

Duplex

Apartment

Condo

Other

Please fill out this field.

Would you like to improve your leash walking skills?

Please fill out this field.

How would you describe your dog's leash walking skills?

Great!

Pulls sometimes

Pulls consistently

Needs Improvement

Totally unmanageable, Help ASAP!

Please fill out this field.

Does your dog enjoy, tolerate or fear riding in a vehicle?

Please fill out this field.

Does your dog enjoy, tolerate or fear/dislike meeting new dogs?

Please fill out this field.

Does your dog enjoy, tolerate or fear/dislike meeting new people?

Please fill out this field.

Environmental stressors (select all that apply)

Strangers

Specific family member

New people

Specific type of person

Delivery people

Dogs

Other household pet

Critters

Vet

Groomer

New places

Noises

Certain activities

Objects

Sights

Sounds

Car Rides

Weather

Other

Please fill out this field.

Other Stressors: Explain

Please fill out this field.

Has your dog ever bitten a human adult or child?

Yes

Has your dog ever bitten another dog or other animal?

Yes

If yes, how many bite incidents have occurred to date, including air snaps and bites that did not result in injury.

Please fill out this field.

Is there any animal on the property that exhibits excited, fearful or aggressive behaviors that present a safety concern for guests?

Yes

I'd prefer to talk about it prior to our consultation

Please fill out this field.

Your Dog's Profile Pic:

Upload image