Behaviour Intake Form

1st Dog - Information

dogs gender

Male
Female
No elements found. Consider changing the search query.
List is empty.

are they spayed/neutered?*

Yes
No
No elements found. Consider changing the search query.
List is empty.

are they crate trained?*

Yes
No
No elements found. Consider changing the search query.
List is empty.

are they muzzle trained?*

Yes
No
No elements found. Consider changing the search query.
List is empty.

current behavioural issues (please select multiples if required)*

Reactive to People
Reactive to Dogs
Resource Guarding
Separation Anxiety
Excessive Barking
Destructive Behaviour
Fearfulness
Hyper Activity
Pulling on the Lead
Jumping Up
Poor Recall
House Breaking Issues
Other
No elements found. Consider changing the search query.
List is empty.

please upload a photo of your dog

Do you have another dog you'd like to provide information for?*

Yes
No
No elements found. Consider changing the search query.
List is empty.

2nd Dog - Information

Dogs gender

Male
Female
No elements found. Consider changing the search query.
List is empty.

Spayed/Neutered

Yes
No
No elements found. Consider changing the search query.
List is empty.

are they crate trained?

Yes
no
No elements found. Consider changing the search query.
List is empty.

are they Muzzle trained?

Yes
no
No elements found. Consider changing the search query.
List is empty.

current behavioural issues (please select multiples if required)

Reactive towards People
Reactive toward Dogs
Resource Guarding
Separation Anxiety
Excessive Barking
Destructive Behaviour
Fearfulness
Hyper Activity
Pulling on the Leash
Jumping Up
Poor Recall
House Breaking Issues
Other
No elements found. Consider changing the search query.
List is empty.

please upload a picture of your dog

do you have another dog you would like to give us information about?

Yes
No
No elements found. Consider changing the search query.
List is empty.

3rd Dog - Information

dogs gender

Male
Female
No elements found. Consider changing the search query.
List is empty.

spayed/neutered

Yes
No
No elements found. Consider changing the search query.
List is empty.

are they crate trained?

Yes
no
No elements found. Consider changing the search query.
List is empty.

are they muzzle trained?

Yes
No
No elements found. Consider changing the search query.
List is empty.

current behavioural issues (select multiples if required)

reactive to people
reactive to dogs
resource guarding
separation anxiety
excessive parking
destructive behaviour
fearfulness
hyper activity
pulling on the lead
jumping up
No elements found. Consider changing the search query.
List is empty.

please upload a picture of your dog

do you have another dog you’d like to provide information about?

Yes
No
No elements found. Consider changing the search query.
List is empty.

4th Dog - Information

dogs gender

Male
female
No elements found. Consider changing the search query.
List is empty.

are they crate trained?

Yes
No
No elements found. Consider changing the search query.
List is empty.

are they muzzle trained?

Yes
No
No elements found. Consider changing the search query.
List is empty.

current behavioural issues (please select multiples if required)

Reactive to people
reactive to dogs
Resource guarding
Separation anxiety
Excessive barking
Destructive behaviour
Fearfulness
hyper activity
pulling on the lead
Jumping up
No elements found. Consider changing the search query.
List is empty.

spayed/neutered

Yes
No
No elements found. Consider changing the search query.
List is empty.

please upload a picture of your dog

Please ensure you submit this form below