Darran's Behavioural Consultation Survey Is your dog on any medication at present?
If Yes, please give the name and dosage of the medication(s).
Describe your dog’s daily routine
What does your dog do for exercise, and how often and for how long?
What does your dog do when you’re gone from the house?
What kinds of toys, chews, etc. does your dog play with, and how often? When does he/she play with his/her toys?
Have you done any training with your dog, or had he/she done any before you adopted him? Where did you do the training? Can you describe the basic approach you learned to train your dog? Did you feel you got the results you were looking for?
GOALS : What would you like your dog to do?
GOALS : What would you like to be able to do with your dog?
Manners, Chewing, Digging If your dog doesn't display Manners, Chewing, Digging issues please move to the next session.
What is your dog doing that we need to stop?
Where and when does your dog do this?
What would you prefer your dog to do instead?
Barking If your dog doesn't display Barking issues please move to the next session.
Does your dog seem to bark?
If Others, please give more details below
Does your dog ever? (If you tick any of these option please ensure you fill out the Separation Anxiety Section)
Has there been and council complaints for barking?
House Soiling If your dog doesn't display House Soiling issues please move to the next session.
Has there been a recent change in your dog's routine, or a traumatic event? If so, please give details.
Fear or Aggression Toward Dogs or People If your dog doesn't display Fear or Aggression Toward Dogs or People issues please move to the next session.
Has your dog bitten another dog / person?
If yes, what is the worst result that has occurred?
Describe the incident or incidents you are concerned about.
Have you noticed anything similar about the situations or dogs involved across the incidents?
If Yes selected, please give more details below.
Have you noticed any escalation or change in your dog’s behavior over time?
Did any or could any of the incidents have involved your dog protecting:
Please fill this section in if your dog is aggressive with other dogs.
Which of these behaviors have you noticed occur just before an incident with other dogs?
If Others, please give more details below
Did the incidents involve any of the following triggers?
If Others, please give more details below
How often does your dog use 'PLAY BOW' behaviors with other dogs:
Often Sometimes Never
How often does your dog use 'RAISED PLAY PAW' behaviors with other dogs:
Often Sometimes Never
How often does your dog use 'FAST WAGGING TAIL' behaviors with other dogs:
Often Sometimes Never
How often does your dog use 'EARS BACK' behaviors with other dogs:
Often Sometimes Never
How often does your dog use 'OPEN SMILING MOUTH' behaviors with other dogs:
Often Sometimes Never
How often does your dog use 'BOUNCY, EXAGGERATED MOVEMENTS' behaviors with other dogs:
Often Sometimes Never
How often does your dog use 'CHASING WITH PAUSES AND RELEVANT REVERSALS' behaviors with other dogs:
Often Sometimes Never
How often does your dog use 'WRESTLING WITH PAUSES AND RELEVANT REVERSALS' behaviors with other dogs:
Often Sometimes Never
Does your dog's behaviors occur in conjunction with?
Does your dog warm up to a new dog?
What type of dog does your dog prefer to be with?
What type of interactions does your dog like to do with other dogs?
Do the incidents appear to happen after play has continued uninterrupted for a period of time?
Do the incidents include any of the following?
Does it appear that your dog targets specifically small dogs?
Were the incidents triggered by the other dog making high pitched sounds?
Were the incidents triggered by the movement of the other dog (ie, running)?
Do your dog's interactions with other dogs consistently include?
Please fill in this section if your dog is aggressive towards people.
Did any of the incidents involve your dog being touched on his/her?
If Others, please give more details below
Did any of the incidents involve?
If 'Unusual human behaviours', please give details below.
Did any of the incidents involve someone?
Did any of the incidents involve?
Has there been any council complaints, hearing or muzzle orders imposed for aggressive behaviour?
If ansered Yes to above, please give all details, stating which council.
Separation Anxiety If your dog doesn't display Separation Anxiety issues please do not fill in this section.
Which of these signs of anxiety does your dog display in relation to begin left alone?
Where do you leave your dog when you leave the house?
Does your dog behave differently when left with another dog or with another person?
Is there any place that your dog is comfortable being left alone, such as in the car?
Is your dog crate-trained?
Where would you like to be able to leave your dog when you are not home, and for how long?
When does your dog’s signs of anxiety first begin?
If Others selected, please give more details below.
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