Tell Me About Your Dog

Take a minute to complete this questionaire to get a FREE evaluation of your dog’s behavior issues.
It may take 1-3 business days for us to contact you about your consultation.
Due to the high volume of consults if you do not hear from us by the 3rd business day please call us at 367-1488.
This is not a binding agreement for services.

Dog Behavior Questionnaire

First Name: (REQUIRED)

Last Name: (REQUIRED)

Best phone number to reach you:

Address:

City, State, and Zip:

Email Address:

Best time of the day to reach you? Check all that apply:
Afternoon Evening Morning Weekday Weekend

Best time of the day for an appointment? Check all that apply:
Afternoon Evening Morning

How did you hear about the dog's listener?

Your Dog's Name:

Male or Female?
Male Female

Age of your dog:

Breed of your dog:

Spayed or Neutered?
Yes No

How long have you owned your dog?

Where did you get your dog?

Does your dog act aggressively towards other dogs?
Yes No

Does your dog pull on a leash?
Yes No

Does your dog act aggressively towards objects (bikes, cars, etc.)?
Yes No

Does your dog act aggressively towards family members?
Yes No

Does your dog act aggressively towards strangers?
Yes No

Does your dog have bad manners such as jumping on guests?
Yes No

Does your dog get aggressive if you take his food/water/treat/or that special toy away from him?
Yes No

Does your dog bark when people/cars/bikes go by the house?
Yes No

Is chewing on furniture/shoes/etc. an issue?
Yes No

Does your dog have accidents in the home or in his crate?
Yes No

Does your dog dig outside to try to escape?
Yes No

Does your dog have separation anxiety?
Yes No

Is your dog scared of thunderstorms?
Yes No

Is your dog fearful of loud noises and sudden movements?
Yes No

Is your dog shy or skittish?
Yes No

Do you want your dog to be trustworthy enough to be left out of his crate when you are gone?
Yes No

If there are any other animals in the home, do they all get along?
N/A Yes No

Is your dog troublesome when you are not present?
Yes No

What is the main issue that you are having with your dog? What other issues do you want corrected?

Any other questions or comments?

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Tell Me About Your Dog

Dog Behavior Questionnaire

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