Dog Behaviour Consultation Application This is a very detailed form.We strongly recommend you read it thoroughly and collect the requested information BEFORE you start to fill it in.All fields need to be completed.Where Yes/No answers will suffice please just enter Y or N.Where questions do not apply enter: None or N/A or something suitable - however you MUST enter something.Your DetailsFirst Name *Last Name *Phone Number *Email Address *Address *PostcodeVet Practice and AddressIs this your first dog?First DogYesNoIf relevant, is this your first puppy? First PuppyNot RelevantYesNoYour Dog's DetailsDog's Name *Breed of Dog *Date of Birth *Age Now *Age Obtained *Male/FemaleMaleFemaleNeuteredYesNoWhy Neutered *Do you consider your dog to be:Dog Traits *AggressiveDestructiveHyperactiveDisobedientHouse-trainedNervousExcitableNoisyDog Description *HistoryChosen Breed *Litter Size *Litter Mix *Litter Raised - House *Litter Raised - Elsewhere *Dog Supplier *Choice of Dog *More Dog Supplier Information *More Dog History Information *Medical HistoryVet Visit *Vet Visit Reason *Medical Issues *Medication *Vaccination and Wormed *Dog Breeding *Dog Allergies *Is your dog insured?Dog InsuredNoYesHousehold/CarersYour Household *Dog Care *Other Pets *Boarding *Grooming *Training HistoryTraining *Does your dog:Dog Obedience *Come When CalledPull On The LeadDrop Objects When AskedSit When AskedLie Down When AskedStay When AskedLeave Items When AskedOther Commands *Correction *Reward *Sleeping/Home AloneSleep Location *Bed or Crate *Amount of Sleep *Evening Settle Down *Most Time *Location When Out *Time Alone *How Often Alone *Garden Access *Does your dog tend to follow you about?Follow AboutNoYesHas your dog been crate trained?Crate TrainedNoYesIs your dog allowed up on furniture?Allowed On FurnitureNoYesExerciseWalked How Often *Walked By Who *Walk Duration *Walk Location *Walk Behaviour *Allowed Off Lead *Not Allowed Off Lead *Lead Behaviour *Lead Type *Garden Owner *Favourite Toy/Game *Toy Possessive *Play *Other Playmates *FeedingDog Weight *Feed Location *Fussy Eater *Number of Meals *Meal Times *Who Feeds *Food Holder *Food Type *Treats *Treat Times *Bones or Chews *Possessive Bones or Chews *Food Begging *Food Supplements *Typical DayTypical Day Description *Main Behaviour ProblemMain Problem Description *After Problem Display *Problem Start *First Incident Description *Development of Problem *Possible Cause *Frequency of Problem *Entire Female *Related Dogs *Dog Contacts *Resolve Problem *Advice From Anyone *Other ProblemsAny Other Problems *Describe Your Dog's Reactions To the Following:Family Members *Visitors *Strangers *Children *People Walking Past House *Traffic *Other Dogs *Loud Noises *Going To Vets *Being Groomed/Bathed *Having Nails Clipped *Being Left Alone *Being Told Off *Travelling In The car *Displays of Aggression *Final Questions and CommitmentFamily Agreement *Family Arguments *Time Commitments *Family Commitments *Outcome *Persistent Problem *Anything Else *Do you agree with the CDTS privacy policy?Privacy Policy Agreement *Please select an option....I agreeDo you agree with CDTS Terms & Conditions?Terms & Conditions Agreement *Please select an option....I agreeWhen you click the Send button the above details will be sent to us and a copy will be sent to you.Please be patient - you will be notified when your message has been sent. Send FormPlease do not fill in this field.
