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Behavior Background

This form may take a few minutes. Please answer the following questions to the best of your ability. After filling out the form there is a basic liability waiver to be signed.

Human Name

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Pronouns

She/her

He/him

They/them

Other

Full Address

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Phone Number

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Email Address

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preferred method of contact

Phone

Either

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Dog Name

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Sex

Intact Male

Neutered Male

Intact Female

Spayed Female

Breed or best guess

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Dog's Age

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Who is your regular veterinarian?

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May we discuss your dogs behavior with your veterinarian?

Yes

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Has your dog ever shown reactivity or aggression towards other dogs or animals?

Yes

Unsure/It's complicated

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Has your dog ever bitten or otherwise injured another dog or other animal?

Yes

Has your dog ever shown fear, aggression, or reactivity towards people?

Yes

Unsure/It's complicated

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Has your dog ever bitten a person or otherwise cause harm?

Yes, Broke skin

Yes, Did not break skin

Other

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Has your dog had any previous training?

Yes, owner trained

Yes, professional training

What training tools are you currently using or have used in the past?

Prong collar

E Collar

Treats

Toys

Clicker

Harness

Gentle leader or other head halter

verbal correction

verbal praise

Physical correction

Crate

Pens, gates or other physical barriers

Muzzle

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