DOG BEHAVIORAL QUESTIONNAIRE
Please review this entire questionnaire first, then go back and answer the questions as thoroughly as possible. Please return the questionnaire before the appointment if possible. Otherwise please have it with you at time of the appointment. For each specific incident, please, fill out an incident report form.
What is your pet's sex? *
Have you had pet's before you got this pet? *
Have you had a dog before?*
Why did you choose this specific animal?*
What is your pet's breed?*
Have you owned this specific breed before?*
Has your pet been spayed and neutered? *
Where did you get your pet? *
How long have you had your pet? *
How old was he/she when you brought them home?*
List their medical conditions/allergies*
Vaccinations in the last 12 months?*
What brand/type of food does your pet eat?*
How many times a day is your pet fed? *
How many days a week are you away from home?*
How often is your pet given treats?*
How many hours are you away from home?*
How do you prepare to leave home?*
What does your pet do as you prepare to leave?*
Where does your pet spend most of their time ?*
How often is your dog walked?*
How often does your dog play in yard?*
How often do you play with your dog ?*
Where does your pet sleep?*
What kind of home do you live in?*
List name, species, breed and age of other pets :*
List name, age and sex of people in household: *
What are the issue are you most concerned with? *
Did a person move in/out of home when it started? *
Was a new baby in home when it started? *
Was a new pet in home when it started?*
Was there a change in owner’s work hours ?*
Was there a change in routine?*
Recent vaccination/new medication?*
Did a pet/person in the home pass away?*
Was another pet lost/rehoused?*
New medical treatment/surgery? *
What has been done to address the issue so far?*
Have there been any environmental changes?*
Have you moved recently ?*
Have you changed your pets diet recently ?*
After pet’s behavior was addressed:*
Please, list what commands your pet knows.*
Is there anything else you feel we should know?
*