Behavior History Form
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Dog's Info
Name
Breed
Age & Gender
Altered?
Describe behavior for which you are seeking help: ex) snapping at people, growling at dogs
What is the highest level of a bite inflicted by the dog - Dr Dunbar's Bite Scale https://www.endlesspawsibilities.biz/_files/ugd/9a8686_ceb1a57cd22342749a4b7b9cd1979b5c.pdf
When did you first notice this behavior? ex) after being attacked by a dog, after our vacation, after a move, __ months ago
Who is it directed at?
Where does it happen / not happen? ex) in the home, on walks, at the park
Why do you think it is happening?
When does it happen? ex) when someone comes to the door, when someone approaches the dog, in the evening, when he's anxious
Describe any intervention or training attempted?
Any changes in the behavior?
Is the dog on any medication or supplements? Please list.
List any medical issues: current or former
Why did you choose this dog/ breed?
What is your expectation of training?
Anything else you want to tell the behavior consultant?
Changing behavior requires time, consistency, commitment, and compliance. Do you have the time, effort, and desire to put in the work required to see a change in your dog?
*
Submit
Should be Empty: