Behaviour Assessment Questionnaire
Please provide as much detail as possible to help me understand your dogs behaviour.
If something doesn’t apply, just write “N/A”.
Thank you for taking the time to complete this form.
Your details
Your name *
Contact number *
Email address *
Home address *
Postcode/Zip code *
Your dog(s)
Dog 1
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Dog's name *
How long have you owned the dog? *
Did your dog come from a rescue, shelter or previous owner? Any known past or trauma? *
What’s your dog’s general personality like? (e.g. playful, shy, cuddly) *
Does your dog play with toys? *
-- Select --
Yes
No
Sometimes
Not Relevant
Does your dog enjoy interactive play? *
-- Select --
Yes
No
Sometimes
Not Relevant
Breed *
Age *
Sex *
-- Select --
Male
Female
Neutered or spayed? *
-- Select --
Yes
No
Not Relevant
Behaviour background
What’s the main behaviour you’d like help with? (e.g. aggression, reactivity, anxiety) *
Are there any other behaviours that concern you, even if they seem unrelated? (e.g. noise phobias, destructive)
Describe the most recent incident: what happened, where were you, what triggered it? *
How did you respond to the incident? *
How did your dog react to your response? *
When did the issues start? *
How long have the issues been going on? *
What do you think is causing the behaviour? *
On a scale of 1-10, how severe is the behaviour? (1 = mild, 10 = severe) *
-- Select --
1
2
3
4
5
6
7
8
9
10
Does your dog show protective behaviour over food, toys, spaces or people? (e.g. growling, stiffening) *
Health
When was your dog last checked by the vet? *
Are there any health issues or medications we should know about? *
None
Allergies
Arthritis
Injuries
Medications
Chronic Conditions
Other
What do you feed your dog? *
Is your dog overweight, underweight or a healthy weight? *
-- Select --
Overweight
Underweight
Healthy Weight
Not Sure
Does your dog react strongly to being touched in certain areas? *
No
Ears
Paws
Back
Tail
Other
Has your vet ever mentioned that behaviour might be linked to pain or discomfort?
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Daily life and routines
What does a typical day look like for your dog? *
How much exercise does your dog get each day? *
Does your dog have any favourite activities or routines? *
Does your dog live mostly indoors or outdoors? *
-- Select --
Indoors
Outdoors
Both
Does your dog use a crate, have a specific bed, outdoor kennel or free roam of the house? *
How much sleep does your dog get and is it often interrupted? *
How does your dog behave when left alone? *
Have you tried any training methods or tools before? *
Positive Reinforcement
Clicker Training
Corrections (e.g. leash pops)
Tools (e.g. prong collar, e-collar)
Professional Trainer
None
Other
What training methods worked well and what didn’t? *
How well does your dog sit? (1 = poor, 10 = excellent) *
-- Select --
1
2
3
4
5
6
7
8
9
10
Not Relevant
How well does your dog stay? *
-- Select --
1
2
3
4
5
6
7
8
9
10
Not Relevant
How well does your dog come when called? *
-- Select --
1
2
3
4
5
6
7
8
9
10
Not Relevant
How well does your dog lie down? *
-- Select --
1
2
3
4
5
6
7
8
9
10
Not Relevant
How well does your dog leave it? *
-- Select --
1
2
3
4
5
6
7
8
9
10
Not Relevant
Is one person mainly responsible for the dog or does everyone help? *
-- Select --
One Person
Everyone
Mixed
How do you usually interact with your dog? *
Strict
Playful
Childlike
Loving
Calm
Firm
Gentle
Energetic
Patient
Authoritative
How does your dog walk on the lead? *
-- Select --
Calmly/Loose Lead
Pulls Occasionally
Pulls Constantly
Reactive (lunges, barks)
Not Relevant
Does your dog get to run off-lead? *
-- Select --
Yes
No
Sometimes
Not Relevant
Does your dog get time to sniff around? *
-- Select --
Yes
No
Sometimes
Not Relevant
What is your dog’s favourite game? *
How does your dog act around children? *
How does your dog act around friends or strangers? *
Home and environment
How many dogs live in your home? *
How many children live in your home? *
How would you describe your house environment? *
-- Select --
Quiet
Busy
Lively
Hectic
What’s your home setup like? (e.g. garden, other pets, frequent visitors) *
Have there been any recent changes in the home? (e.g. moving house, new baby, bereavement)
Triggers and responses
Are there any specific situations, objects or noises that upset your dog? *
None
Other Dogs
Strangers
Children
Loud Noises (e.g. fireworks)
Objects (e.g. bikes)
Doorbell/Knocking
Other
Does your dog give any warning signs before acting out? (e.g. growling, stiff body) *
Or does your dog go straight to the behaviour without warning? (e.g. snapping, lunging)
Your goals
If you could wave a magic wand, what would you like your dog to do differently? *
Are you open to adjusting routines, training methods or your home environment to help your dog? *
-- Select --
Yes
No
Maybe
Is everyone in the household on the same page with training? *
-- Select --
Yes
No
Maybe
Does adjusting routines or setting boundaries sound manageable for you? *
-- Select --
Yes
No
Maybe
Any additional notes or information?
Submit Assessment
Thank you! Your assessment has been received.
I will review it and contact you as soon as possible.