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Dog Behavior & Training
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Dog Behavior & Training
Testimonials
Contact Us
Update/ Add Dog(s)
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Update/ Add Dog(s)
First Name
Last Name
Email
Dog Information
Name
Age
Breed
Gender
Please select...
Male
Female
Altered
Please select...
Yes
No
Weight
Where and when did you get your dog?
Please describe problem behaviors or behaviors that you would like to change.
What behaviors would you like to achieve or work towards in sessions?
Check all that apply
Shy/ timid
Human reactive or aggressive
Dog reactive or aggressive
Leash reactivity
Interhousehold fighting
Barrier frustration
Seperation/ Isolation anxiety
Overly excitable
Compulsive behaviors
Is your dog being treated for any medical conditions?
Yes
No
What was veterinary diagnosis?
What prescriptions is your dog currently taking?
Is your dog being treated with behavior medications?
Yes
No
What was veterinary diagnosis?
What prescriptions is your dog currently taking?
Has your dog ever bitten a human?
Yes
No
How many times has your dog bitten a person?
Please select...
1
2
3
4
5
Too many to count
Describe situation leading up to most serious bite
Was the person bitten a member of the household?
Yes
No
What injuries were involved in this incident?
Please select...
Left a red mark
Bruising
Scratched the skin
1 to 4 punctures
5 or more punctures
Required emergency medical attention
Required stiches
Required over night hospitalization
Permanent disability or death
Describe situation leading up to most recent bite
Was the person bitten a member of the household?
Yes
No
What injuries were involved in this incident?
Please select...
Left a red mark
Bruising
Scratched the skin
1 to 4 punctures
5 or more punctures
Required emergency medical attention
Required stiches
Required over night hospitalization
Permanent disability or death
Has your dog ever bitten another dog?
Yes
No
How many times has your dog bitten another dog?
Please select...
1
2
3
4
5
Too many to count
Describe situation leading up to most serious bite
Was the dog bitten a member of the household?
Yes
No
What injuries were involved in this incident?
Please select...
Left a red mark
Bruising
Scratched the skin
1 to 4 punctures
5 or more punctures
Required emergency medical attention
Required stiches
Required over night hospitalization
Permanent disability or death
Describe situation leading up to most recent bite
Was the dog bitten a member of the household?
Yes
No
What injuries were involved in this incident?
Please select...
Left a red mark
Bruising
Scratched the skin
1 to 4 punctures
5 or more punctures
Required emergency medical attention
Required stiches
Required over night hospitalization
Permanent disability or death
Add another dog
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