Name
First Name
Last Name
Names of other people in household, please include ages of any children
Phone number/s
Email
Address
Are there any adaptations or considerations I should be aware of to help you get the most from your consultation?
Name
Age (years and months)
Weight (kg) if known
Breed (if known)
Date obtained (mm/yy)
Sex
Does your dog have medical issues? Please list them and say whether you feel they are well managed at this time
Does your dog have allergies or intolerances? Please describe
List any medications or supplements your dog is currently taking - names and doses / frequency
Brief summary of your dog's personality (what's good, what's not so good)
Other household dogs (name, sex, age, breed if known)
Do other household dogs show similar issues? If yes describe
Who usually walks your dog, how often and for how long?
Do you let your dog off lead on walks?
Do you use a regular dog walker, doggy day-care or pet sitter? If yes please describe
Is your dog playful?
What do you feed your dog? How often are these meals?
Does your dog have a good appetite?
Approximately how much time does you dogs spend asleep or resting in a 24-hour period (day time and over night)?
Can your dog settle down if separated from people at home (i.e shut out of, or into, a room by themselves)
How often and for how long approximately is your dog left at home without people?
How does your dog behave if left home alone?
Do you consider your dog to be sound sensitive (spooks easily at everyday noises)?
What is the main problem? Give as much detail as you can, including changes over time
List any other problem behaviours, in order of priority (your consultation will be focused on the main problem as the priority)
The main problem is becoming
If you have been to group classes or received 1-1 training or behavioural help for your dog before, please summarise how you felt this went
The problem effects my dog's quality of life
The problem effects my quality of life
Do you feel able to manage your dogs behaviour well (cope with it on a day-to-day basis)
Has your dog previously bitten a person? If yes, please note the severity of each bite. Use the Dunbar Bite Scale diagram at the end of this form and note the relevant bite levels here
Has your dog previously bitten another dog? If yes, please note the severity of each bite. Use the Dunbar Bite Scale diagram at the end of this form and note the relevant bite levels here
Are there essential changes you must see in your dog's behaviour in order to be able to continue living with them? If so, please describe
Are there any lifestyle changes in the coming year that you are aware of and happy to share, that are likely to affect your dog? (i.e. moving home, new job, change in household members, holidays, other pets etc.)
Any other future changes you are concerned about in terms of your dog's behaviour and would like to raise or discuss?
How did you hear about Oz Dogs?
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Web search
My vet recommended
Other recommendation
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Other
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