Progress Report Form

Progress Report Form

About Dogs LLC, Camille Ward, M.S., M.S., Ph.D., CAAB
INSTRUCTIONS

Please complete the form and email it back to Dr. Ward at least 3 days in advance of your follow-up appointment. Remember not to feed your dog a full meal for at least 6 hours prior to your appointment for all in-person appointments.
GENERAL INFORMATION
Today's Date*

MonthDay Year
Name*

First Name Last Name
E-mail
Dog's Name
FOLLOW-UP QUESTIONS
Is your dog taking any medication? Please list all medications and dosages.

On a scale of 1-10, how would you rate your dog today in terms of his/her overall behavior

	1	2	3	4	5	6	7	8	9	10

1 is Worst, 10 is Best

What behaviors have improved?
What behaviors are the same or worse?
Have you been consistent in following the behavior and /or environmental modification recommendation(s) as prescribed? Please describe.
What specific recommendations are you following? Please describe.
What specific recommendations are you not following and why?
Any new behavior and/or training problems? Please describe.
Has your dog had any medical problems?
What do you want to accomplish at the upcoming follow-up appointment?
About Dogs LLC, Ann Arbor, Michigan E: AboutDogsLLC@gmail.com, W: AboutDogsLLC.com, P: 734-358-1972
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