Dog Behavior Case Information

Dog Behavior Case Information Form

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Clients Name:*

Phone:*

Best time to call:*

E-mail*

Dog's Name:*

Dog's Sex:*

Male

Female

Spayed/Neutered*

Yes

Age of Dog*

How long has the dog been in the home?*

How was the dog acquired?*

Information about dog's history:*

Questions About the Home Environment and Daily Routine:

Who else lives in the household (humans)?*

How does the dog interact with them?*

If there are children, how old are they?*

How does your dog interact with them?*

How long have you and your dog lived in this home?*

Are there any other animals in the home? If so, what kind? (species, breed, age, gender if cat or dog)*

How long have you had other animals?*

How does your dog interact with the other animals?*

Is your dog an outside or indoor/outdoor dog?*

What does your dog eat?*

Is your dog free to fed or fed only at certain times? If so, when?*

Would you describe your household as busy (lots of guests/people coming in and out) or more on the calm/quiet side?*

Has there been any changes to the household recently/ (renovations, guests, new family members moving in, etc.)*

Has there been a change to the dogs routine recently (due to change in owner's work schedule, etc)?*

In general, how would you describe your dogs personality? Shy, outgoing, confident, playful, skittish, etc)?*

Is your dog allowed on the furniture?*

If not, how do you train your dog not to go on the furniture?*

Does your dog have his/her own bed?*

Where is it located?*

How often does he/she use it?*

Does your dog like to play with toys by himself/herself?*

If so, what kind? How often?*

Are the toys switched out? If so, how often?*

Do you or anyone in your family play with the dogs? If so, who?*

What kind of toys, if any, are used?*

How often and for how long?*

If no toys are used, can you describe the play? Is there chasing, wrestling or playing with your hands around the dog's mouth?*

Do you walk your dog on a leash? How long and for how often? Who in the home walks the dog?*

What other exercise do you give your dog?*

Where does your dog like to rest/sleep (in his bed, your bed, by the door, etc.)?*

Where does your dog spend most of his or her time?*

Is your dog crated? For how long? During what time of day?*

Can you describe your dog's daily routine?*

Questions About Training

Have you and your dog worked with a professional trainer? If so, who?*

Private lessons or group classes?*

What behavior/issues did you work on with your dog?*

How did your dog go do with training?*

Was it positive reinforcement training (treats and rewards), aversive/correction based training or a combination of both?*

Were shock collars or choker collars used? If so, which one and how did your dog handle the corrections?*

How do you correct your dog when he does something wrong?*

How much time per day or week do you spend on training in the home? What behaviors do you work on?*

What cues/commands have you taught your dog?*

How do you reward your dog when he does something right?*

What challenges have you encountered when training your dog?*

Questions for Housebreaking Issues:

Has your dog ever been housebroken? If so, when did he/she start eliminating inside?*

Does he/she urinate and defecate in the house or one or the other?*

If your dog was once housebroken, can you think of any changes (big or small) that happened in the home around the time this new behavior started?*

Where in the house is your dog eliminating?*

How often do you take your dog outside to eliminate?*

How often is your dog eliminating in the home?*

Does he ever go to the bathroom outside? If he doesn't go to the bathroom outside, what do you do when you bring hime back in? (free roam, crate, etc.)*

When does he go to the bathroom outside (approximate time, night or day)?*

Do you crate your dog? If so, for how long?*

When you let him/her outside to go to the bathroom, do you walk him/her on a leash or just in the yard?*

Have you tried anything to fix this issue yet? If so, how?*

Is your dog otherwise acting normally aside from eliminating in the home?*

If not, what other unusual/abnormal behaviors have you observed?*

Has your dog been to the vet recently?*

What was the outcome of the vet visit? Any medical issues?*

Questions for Chewing/Destroying Household Items:

When did this behavior start?*

When does your dog chew or become destructive? (time of day, is there anything particular going on in the home at the time? What is your dog doing right before he/she starts chewing?)*

Any changes in the household recently? (big or small like moving furniture or new members to the household) that have occurred when the bahavior started?)*

What is your dog chewing on?*

What kind of toys does your dog have for independent play? Does he/she use them?*

How do you correct your dog when he/she is chewing on inappropriate items?*

Have you done anything to deter your dog from inappropriately chewing? If so, what have you done?*

How often do you play with your dog?*

Questions for Aggression Issues:

Please describe your dogs behavior in detail when there is an issue. For instance, is your dog, lunging, scratching, biting, growling or showing teeth, etc? Has there been serious injuries to another person? Please describe (how many scratches or bites, was medical intervention needed, stitches, etc.)*

When does your dog' exhibit this behavior? Can you describe what your dog is doing right before he/she exhibits this behavior? For example, did the aggressive behavior occur when the dog was eating, had a toy or other object, when you were taking something way from the dog, or handling the dog (putting on a collar, petting, grooming/bathing, picking the dog up, etc.)?*

Did the aggressive behavior occur when someone entered the home/yard or approached the dog outside? If yes, can you describe the person? Did the person reach out to pet the dog, loom, or make direct eye contact?*

How does your dog usually act when meeting strangers? Does he/she meet them often?*

Did the aggressive behavior occur when the dog was sleeping immediately prior?*

Did the aggressive behavior occur when you were playing with your dog? What game or toy were you using when you were playing with your dog?*

What kind of play style does your dog have (rough play, gentle, likes to jump, likes to play bite, chases etc.)*

How often is your dog displaying this aggressive behavior?*

Is there a particular place where the behavior usually happens? If so, where (certain room, near a window, when people come in the door, when he/she is on a certain piece of furniture)?*

When did this behavior start? Were there any changes (big or small such as moving to a new home, new household member (roommate, baby or animal),, guests, etc.) in the home or to the routine recently? If so, when did these changes happen?*

Is there a particular person in the home that your dog is exhibiting this behavior with? If so, who? (age and gender)*

Did the dog always act this way with this particular person? If not, what was the behavior like previously with this person?*

Can you describe your dog's interactions with other household members?*

Have you witnessed this behavior if you weren't directly involved? Where were you when the dog was displaying this behavior?*

Have you done anything to try and correct this behavior? If so, what have you done?*

Is your dog exhibiting any other abnormal/unusual behaviors? If so, please describe:*

Is your dog eating/drinking and eliminating appropriately?*

When was the last time your dog was at the vet? What was the outcome?*

Any known medical issues?*

Questions for Dog/Dog Conflicts:

For Dog/Dog Conflicts with resident dogs:

How long have you had your dogs? How old are your dogs? Which gender? Are all dogs spayed/neutered?*

When did they start to not get along? Were there any changes in the home (moving, new family members, guests, renovations, etc.) or routine around this time?*

What behaviors do you see when they aren't getting along? (Growling, showing teeth, biting, etc.)*

If biting, how serious were the injuries*

How often does this happen?*

What are the dogs doing prior before the conflict? (playing, barking at window/fence/door, eating, playing with a toy or bone, lying on a particular piece of furniture)*

Do the dogs show any signs of getting along at times? If so, please describe. (they sleep together, play together, etc.)*

Has either one exhibited any other behavior changes?*

Have you tried anything to correct the issues? What have you done?*

Do you walk your dogs together? How often? For how long?*

Have they had a vet visited recently? What was the outcome of the visit?*

For Dog/Dog Conflict with Unknown/New Dogs

Please describe in detail the incidents(s) of aggression with other dogs. (where it took place, what type of dog, if there was serious injury)*

How often does he/she show this behavior?*

How does your dog generally act upon meeting new dogs? (friendly, aloof, barks, shows teeth, excited, etc.)*

How often does your dog meet new dogs?*

How do you introduce your dog to new dogs? (on leash, off leash, face to face, on a walk)*

How do you correct your dog if he doesn't act appropriately around other dogs?*

Have you ever taken your dog to a dog park? If so, how does he/she act?*

Follow-up Notes:

Notes

Dog Behavior Case Information