Who referred you to us or how did you hear about our services?
Describe why you are seeking behavioural help for your pet
Please list all issues of concern and all things you would like help with
What problem behaviours are displayed.
Please let us know how serious you consider each problem
Please also list how long each problem has been occurring.
Please briefly describe what you hope and expect to achieve from treatment i.e. to be calm around........ to cope with................ etc.
Please list the people, including yourself that currently live in the household.
Please tick which applies:
N/A: Not Applicable / Doesn't Occur
No Reaction: Dog does not react / they feel comfortable with the situation
Fearful: Fearful behaviour, including freezing
Snarl/Lip Lift: lifting of lips to show teeth
Bark/Grown: Barking and/or growling
Snap/Bite: Snapping and/or biting
***NOTE: if unsure of your dogs reaction but you are worries any of these stimuli may cause aggression DO NOT attempt to replicate these scenarios to find out. DO NOT endanger the dog, yourself or any other person/animal.
Thank you for your patience and persistence in completing this comprehensive questionnaire. The information you have provided constitutes a critical step toward a successful treatment outcome for your companion.
We look forward to joining you in this journey.
The team at Australian Veterinary Behaviour Services
Please tick this box to acknowledge that your details will be automatically added to our CRM system upon submission of this questionnaire. All information and data collected is strictly private and confidential.