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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.
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Indicates required field
Your Name
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Where do you stay - suburb and country only
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Your Dog's Name
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Your What's App number with country code
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Your E-mail Address
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Your client session via What's App, zoom or Google Meet?
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How many other people reside in the home - sex and approximate ages please
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What is the dogs relationship with these other people?
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Do any of the other people in the home walk, play, feed your dog?
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Behaviour Problem/s being experienced. Please do in point form
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Age of Dog?
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Male or Female?
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Sterilized or intact? If sterilized at approximate what age?
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Breed of Dog or cross bred? If a cross breed, do you have any idea of the breeds involved?
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How long have you had your dog for, and how old was your dog when you got it??
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Where did you get your dog from?
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Did you attend puppy socialization with your dog when a pup?
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If you got your dog as a puppy, was it the first or last pup to greet you, or somewhere in between?
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Did you find that your dog may have been fearful/aggressive or noticed anything else from when it was a pup?
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How long have the current behaviour problems been in place?
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Did your dog have a traumatic experience as a pup or later on? If yes, please give details
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How do you react to the current behaviour problems? shouting, smacking, walking away, reprimanding, putting dog outside etc
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What have you done yourself to change the current unacceptable behaviour?
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Is the dog allowed access to the home, and if so approximate time period?
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Is the dog allowed on beds, furniture, and if so will he get off if told too?
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Can you easily take a toy or bone away from your dog?
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How often a day you feed, and do you use Free feeding where food is available for dog all day?
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If fixed feeding schedule, are the dogs all fed together in the same room?
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If dogs fed together, is there any friction at all between the dogs?
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What dog food do you use?
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How often a week do you walk your dog?
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Do you play any games with your dog, and if so what?
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Do you ever roughhouse/rough play with your dog?
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What type of toys/entertainment do you leave for your dog, especially when out the home?
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Have you changed your dog food recently?
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Does your dog have any allergies and is it on any medication. Please state medication being used.
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Does your dog interact well with the following?
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Option 1 - good with visitors - option 2 - good with men - Option 3 - Good with children
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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?
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If other dogs in the home, please give name, sex, age and if sterilized in one line
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Email
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Name
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First
Last
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