CLIENT QUESTIONNAIRE

Scotty Valadao - Friends of the Dog - Client Questionnaire

Please complete below to the best of your ability and then click submit. This information is kept totally confidential. Please right click and save for your own records.

* Indicates required field

Your Name *

Where do you stay - suburb and country only *

Your Dog's Name *

Your What's App number with country code *

Your E-mail Address *

Your client session via What's App, zoom or Google Meet? *

How many other people reside in the home - sex and approximate ages please *

What is the dogs relationship with these other people? *

Do any of the other people in the home walk, play, feed your dog? *

Behaviour Problem/s being experienced. Please do in point form *

Age of Dog? *

Male or Female? *

Sterilized or intact? If sterilized at approximate what age? *

Breed of Dog or cross bred? If a cross breed, do you have any idea of the breeds involved? *

How long have you had your dog for, and how old was your dog when you got it?? *

Where did you get your dog from? *

Did you attend puppy socialization with your dog when a pup? *

If you got your dog as a puppy, was it the first or last pup to greet you, or somewhere in between? *

Did you find that your dog may have been fearful/aggressive or noticed anything else from when it was a pup? *

How long have the current behaviour problems been in place? *

Did your dog have a traumatic experience as a pup or later on? If yes, please give details *

How do you react to the current behaviour problems? shouting, smacking, walking away, reprimanding, putting dog outside etc *

What have you done yourself to change the current unacceptable behaviour? *

Is the dog allowed access to the home, and if so approximate time period? *

Is the dog allowed on beds, furniture, and if so will he get off if told too? *

Can you easily take a toy or bone away from your dog? *

How often a day you feed, and do you use Free feeding where food is available for dog all day? *

If fixed feeding schedule, are the dogs all fed together in the same room? *

If dogs fed together, is there any friction at all between the dogs? *

What dog food do you use? *

How often a week do you walk your dog? *

Do you play any games with your dog, and if so what? *

Do you ever roughhouse/rough play with your dog? *

What type of toys/entertainment do you leave for your dog, especially when out the home? *

Have you changed your dog food recently? *

Does your dog have any allergies and is it on any medication. Please state medication being used. *

Does your dog interact well with the following? *

Option 1 - good with visitors - option 2 - good with men - Option 3 - Good with children *

Option 1 Option 2 Option 3

Has anything changed in your dogs life recently e.g. new neighbours, new pet in home,new partner, dog been at kennels or stay at vet, robbery, hi-jacking, pregnancy, you or family member being in hospital, divorce, death of family member - either human or canine, family member gone away? *

If other dogs in the home, please give name, sex, age and if sterilized in one line *

Email *

Name *

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