Initial Behaviour Assessment - Questionnaire

This questionnaire is only to be completed if you have booked an Initial Behaviour Assessment. Find out more about Behaviour Assessments. To book please call us on 01482 823555.

Behaviour Questionnaire

• Your Name:*
• Address:*
• Home Phone No.:*
• Mobile Phone No.:*
• Email Address:*
• Name of Dog:*
• Sex:

  • Male
  • Female
• Age:*
• Breed:*
• Is he/she Neutered?:

  • Yes
  • No
• How long have you had your dog?:*
• How old was he/she when you got them?:*
• Where was he/she from?:*Please choose one of the following…Rescue CentreBreederPrivate RehomeOther
• Please give details of where you got your dog from. (Any background information, Which rescue centre, circumstances for rehoming etc.):
• What type (wet, dry etc.) and what brand of food do you feed your dog?:*
• How often do you feed?:*Please choose one of the following…1 meal per day2 meals per day3 meals per day4 + meals per dayFood is available all the timeWhenever they ask to be fedOnly when training
• What treats/titbits do you give your dog?:
• Does your dog Sit on command?:*
• Does your dog Lay Down on command?:*
• Does your dog Stay on command?:*
• Does your dog drop objects on command?:*
• Does your dog come back when you call?:*
• Does your dog steal items around the house?:
• Does your dog steal food?:
• Does your dog jump up to greet people?:
• Does your dog jump on your lap without invitation?:
• Does your dog bark/paw/jump up/nuzzle for attention?:
• What might you discipline your dog for (E.g. Jumping up, barking at the cat, stealing a sock etc.):*
• How do you discipline your dog?:*
• Please give details of any previous training (Including the trainer/comany, methods used, size of class, how long training lasted, what effect it had):
• Does your dog tend to follow you around the house?:*
• Is your dog affectionate?:*
• What equipment do you walk your dog on?:

  • Regular Collar
  • Choke Chain
  • Half-Check Collar
  • No-Pull Harness
  • Regular Harness
  • Figure of 8 Lead
  • Halti
  • Canny Collar
  • Regular Short Lead
  • Flexi Lead
  • Rope Slip Lead
  • No Lead
• Where does your dog usually sleep/rest in the daytime by choice?:

  • On your lap
  • By your side
  • In their bed
  • Against a wall/furniture
  • In the middle of the floor
  • Rarely rests
• How would you say your dog is when meeting new people?:

  • Fearful
  • Wary
  • Aggressive
  • Fussy
  • Excitable
  • Submissive
  • Confident
  • Calm
  • Ignores them
• How would you say your dog is when meeting new dogs?:

  • Fearful
  • Wary
  • Aggressive
  • Fussy
  • Excitable
  • Submissive
  • Confident
  • Calm
  • Ignores them
• How would you say your dog is with loud noises?:

  • Fearful
  • Wary
  • Reactive
  • Confident
  • Excitable
  • Relaxed
  • Ignores them
• Describe the problem you are having in as much detail as possible:*
• Has your dog ever cause physical injury?:*
• If so, what? (e.g. drawn blood, bruising, puncture wounds):
• Who is your regular veterinary surgery?:*
• Does your dog have any current or past medical problems to your knowledge?:*
• If so, are they on any medication?:
• Please list all animals in the household, the sequence they were obtained in and any behaviour problems they have.:*
• Is your dog left alone regularly? If so, for how long?:*
• Are there any problems when you leave him/her?:*
• How does your dog behave when you leave the house, when you return, and what do you do?:*
• How many hours of exercise does the dog get each day, who exercises them and is it on or off lead?:*
• Have you booked an Assessment?:

  • Yes
  • No
• I am happy for you to store and use the above information to provide me with an excellent service:

  • Yes
• Send