YOUR DETAILS
Your name
Your Address
Your Email
Your Contact Number:
Emergency Contact Details
ABOUT YOUR DOG
Name
Your Dog’s Breed
Your Dog’s Age
Sex
Has your dog been neuteured?
Does your dog have any current or past health issues?
How old was your dog when they came home to you?
Where did you get your dog from?
Were they a rescue?
If so, do you know why they needed a new home?
How was your dog’s behaviour as a puppy? (if known)
AT HOME
Is this your first experience of owning a dog?
How many people are their at home?
Are there any children – and what ages?
Are there any other animals?
Does everyone interact with the dog?
EXERCISE
How much exercise do you give your dog? And what type?
Does your dog walk with any other dogs?
What is their behaviour like on a walk?
Do they stay on their lead or are they allowed off?
If they interact with other dogs, how does this go?
THEIR DIET
Who feeds your dog and how often?
What do they eat?
Do they eat well? Do they graze?
Do they guard their food?
How often do they get treats?
Do they have chews or bones? And if so, would they guard these?
MEDICAL HISTORY
Do they have any medical issues? and if so, what are they?
When were they last at the vet and what for?
Are they on any medication?
Is there anything else we should know about your dog’s health?
TRAINING HISTORY
Have they had any training to date? And from what age?
If you train them at home, who does this?
Will them come to you if called?
Do they pull on the lead?
A BIT MORE INFO
Can you tell us why you want us to visit and work with you and your dog?
Is the behaviour you want us to work on caused by anything? What happens immediately before and after?
When did the issues first begin? And how frequent are they?
Is your dog good with?
Children Yes No
Family? Yes No
Loud Noise, e.g., FireworksYes No
Traffic?Yes No
People they don’t know?Yes No
Dogs they don’t know?Yes No
Other Animals?Yes No
Grooming?Yes No
Vet Visits?Yes No
Please tick those that apply from below:
Aggressive (describe below) Fearful (describe below) Anxious when alone Jumps on people Pulls on lead Destructive when alone Mouthing/nipping Chews furniture, property Urinates in house Urinates when excited Steals food, objects, trash Darts out doors, gates Guards food, toys, chewies, other Excessive attention seeking Play biting Stool consumption Excessive barking Threatening/biting family members Threatening/biting strangers Aggression/growling at other dogs Over Confidence
Further info re aggression, reactivity or fearful issues
Other Info that may be useful to us (optional)
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