DOG AGGRESSION 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 the main reason for your concern below:*
Aggression toward unfamiliar animal(s)
Aggression toward another dog or pet in the home
Aggression toward family member(s)
Guarding food/toys/possessions/other
Aggression toward visitors
Aggression toward unfamiliar people in public
Aggression when handled/picked up
Aggression toward vet/groomer/petsitter
Any other aggression issues occurring? Explain:*
Has your dog growled/lunged at a person/pet*
Yes
No
Has your dog barked at a person/pet in public?*
Yes
No
Has your dog barked at a person/pet at home ?*
Yes
No
Has the dog bit a person/pet while on leash ?*
Yes
No
Has the dog bit a person/pet while off leash?*
Yes
No
Has the dog drawn blood on a person/pet?*
Yes
No
Has the dog inflicted a puncture wound(s)?*
Yes
No
Play between dogs escalates into fights?*
Yes
No
Tried to kill other dog/person/pet?*
Yes
No
Has a bite required medical attention?*
Yes
No
How many total bites your dog has performed?*
Yes
No
How often is there aggression of any kind?*
Daily
Weekly
Monthly
Yearly
Rarely