K9 Advantage Behavior Questionnaire

Your Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

E-mail

Family members

How did you find K9 Advantage

Other

Dog

Please complete the questions below as accurately as possible.

Dog's Name

Sex

Breed

Date of birth

Physical and Medical

Vet's Name

If You have your own www.com

Vets's Phone

Area CodePhone Number

When was last vaccination & exam?

Has this dog been neutered/spayed?

How old, in months, was the dog when neutered/spayed?

What was the reason for neutering/spaying?

Any behavioral changes after neutering/spaying?

Has this dog been bred?

If you have not yet bred this dog, do you plan on breeding him or her?

Any behavioral changes after breeding? If Yes please explain.

List any medical problems, allergies, & medications

Background

How long have you had this dog, in months?

If you adopted your dog, tell me about any background you have on your dog.

Where did you get your dog?

Why did you choose this particular dog?

How do you feed your dog?

What food (brand names) is your dog fed?

What treats does your dog get (brand names, amounts, and schedules)

Does your dog get anything else to eat?

Other

How is your dog exercised/maintained?

How many walks does your dog get daily, and how long are these walks?

How many play sessions does your dog get daily?

How many training sessions does your dog get daily?

How is your dog kept when you leave him or her alone?

How long does your dog spend alone?

in hours

What percentage of time is your dog inside?

example - 20%

Where does your dog sleep?

How does your dog behave in the vehicle?

Training

What type of training are you interested in?

Describe your training goals for your dog.

Who is responsible for training your dog?

What is your dog's obedience school/training history?

Age when dog started lessons/training in months:

How did the dog do in obedience school/training?

Please list all the animals (include all pets, even non-dogs) in the household.

Describe how you reward your dog for good behavior.

Describe what you do with your dog for unwanted behavior, and give an example of the circumstances under which you might do so.

Do you use a crate?

What is your dog's favorite toy?

What is your dog's favorite activity?

Behavior Issues

What behaviors would you like to change? check all hat apply

Has the frequency of the behavior?

Has the intensity of the behavior(s)

Under what specific circumstances does the behavior(s) occur?

Handling Issues

Activities you or family member cannot do

At vet or groomer

My dog is less accepting of touch on

My dog's reaction is

Resource Guarding Issues

What items does your dog guard?

My dog's reaction is

This behavior is more intense

This behavior started when

When your dog has a valued item, what is his reaction if someone approaches?

How long has your dog been guarding?

What have you done to address this issue so far? Please be specific.

Reaction to People

What is your dog's reaction to strangers?

My dog has this reaction when

This behavior has become

My dog does not like

In detail, what has been done to address the issue so far? Describe results.

If your dog has bit someone Describe in detail circumstance of bite. Who, when, where, how, seriousness of bite.

Reaction to Other Dogs

What is your dog's reaction to another dog?

My dog has this reaction when

This behavior has become

This behavior started when

In detail, what has been done to address the issue so far? Describe results.

If your dog has attacked another dog, please describe in detail the circumstances of the fight.

Behavior & Evaluation Questionnaire