Behavioral Assessment Questionnaire

The questions on the following pages are designed to allow you to describe how your dog has been behaving in the recent past. Studies have shown that most of these questions can be grouped or condensed into a set of seven major behavioral traits or factors that describe most of the variation in canine temperament, and which are relatively consistent across dogs of different sexes, breeds, and ages:

1. Excitability
2. Aggression
3. Fear and Anxiety
4. Separation-related behavior
5. Attachment and Attention-seeking
6. Training and obedience
7. Miscellaneous problems

Please try to answer all of the questions. Only use the “not observed/not applicable” option if you have never observed the dog in the situation described.

"*" indicates required fields

Personal Information

Name*

First Last

Email*

Phone*

Please provide cell # if available.

May I text you at the number above?*

Yes

Preferred method of communication?*

Phone

Text

Best time(s) to call?*

Address*

Street Address City State ZIP Code

Have you reviewed the training options and pricing on Precision K9 Training website in the Services and Rates section?*

Yes

Please review our services and rates before submitting this questionnaire: Services and Rates

About your dog

Name*

Age*

Sex*

Male

Female

Weight*

Spayed/Neutered*

Yes

Breed/Mix*

Section 1: Excitability

INSTRUCTIONS: Some dogs show little reaction to exciting events, while others become highly excited at the slightest novelty. By selecting a number on the following 5-point scales (0=Calm, 4=Extremely excitable), please indicate your own dogʼs recent tendency to become excitable in the following circumstances:

1. Just before being taken for a walk.*

0: Calm: little or no special reaction

1: Mild

2: Slightly-Moderate

3: Moderate

4: Extremely-Excitable: over-reacts, hard to calm down

Not observed/Not applicable

2. Just before being taken on a car trip.*

0: Calm: little or no special reaction

1: Mild

2: Slightly-Moderate

3: Moderate

4: Extremely-Excitable: over-reacts, hard to calm down

Not observed/Not applicable

Section 2: Aggression

INSTRUCTIONS: Most dogs display aggressive behavior from time to time—e.g. barking, growling, baring teeth, snapping, etc. By selecting a number on the following 5-point scales (0= No aggression, 4= Serious aggression), please indicate your own dogʼs recent tendency to display aggressive behavior in each of the following circumstances.

3. When approached directly by an unfamiliar person while being walked/exercised on a leash.*

0: No aggression: No visible signs of aggression

1: Moderate - growling/barking-baring teeth

2: Moderate - growling/barking-baring teeth

3: Moderate - growling/barking-baring teeth

4: Serious aggression - Snaps, bites or attempts to bite.

Not observed/Not applicable

4. When toys, bones or other objects are taken away by a household member.*

0: No aggression: No visible signs of aggression

1: Moderate - growling/barking-baring teeth

2: Moderate - growling/barking-baring teeth

3: Moderate - growling/barking-baring teeth

4: Serious aggression - Snaps, bites or attempts to bite.

Not observed/Not applicable

5. When approached directly by a household member while s/he (the dog) is eating.*

0: No aggression: No visible signs of aggression

1: Moderate - growling/barking-baring teeth

2: Moderate - growling/barking-baring teeth

3: Moderate - growling/barking-baring teeth

4: Serious aggression - Snaps, bites or attempts to bite.

Not observed/Not applicable

6. When mailmen or other delivery workers approach your home.*

0: No aggression: No visible signs of aggression

1: Moderate - growling/barking-baring teeth

2: Moderate - growling/barking-baring teeth

3: Moderate - growling/barking-baring teeth

4: Serious aggression - Snaps, bites or attempts to bite.

Not observed/Not applicable

7. When his/her food is taken away by a household member.*

0: No aggression: No visible signs of aggression

1: Moderate - growling/barking-baring teeth

2: Moderate - growling/barking-baring teeth

3: Moderate - growling/barking-baring teeth

4: Serious aggression - Snaps, bites or attempts to bite.

Not observed/Not applicable

8. When approached directly by an unfamiliar dog while being walked/exercised on a leash.*

0: No aggression: No visible signs of aggression

1: Moderate - growling/barking-baring teeth

2: Moderate - growling/barking-baring teeth

3: Moderate - growling/barking-baring teeth

4: Serious aggression - Snaps, bites or attempts to bite.

Not observed/Not applicable

9. When strangers walk past your home when your dog is outside or in the yard.*

0: No aggression: No visible signs of aggression

1: Moderate - growling/barking-baring teeth

2: Moderate - growling/barking-baring teeth

3: Moderate - growling/barking-baring teeth

4: Serious aggression - Snaps, bites or attempts to bite.

Not observed/Not applicable

10. When barked, growled, or lunged at by another (unfamiliar) dog.*

0: No aggression: No visible signs of aggression

1: Moderate - growling/barking-baring teeth

2: Moderate - growling/barking-baring teeth

3: Moderate - growling/barking-baring teeth

4: Serious aggression - Snaps, bites or attempts to bite.

Not observed/Not applicable

11. When approached while eating by another (familiar) household dog.*

There is no other dog in the household.

0: No aggression: No visible signs of aggression

1: Moderate - growling/barking-baring teeth

2: Moderate - growling/barking-baring teeth

3: Moderate - growling/barking-baring teeth

4: Serious aggression - Snaps, bites or attempts to bite.

Not observed/Not applicable

12. When approached while playing with/chewing a favorite toy, bone, object, etc., by another (familiar) household dog.*

There is no other dog in the household.

0: No aggression: No visible signs of aggression

1: Moderate - growling/barking-baring teeth

2: Moderate - growling/barking-baring teeth

3: Moderate - growling/barking-baring teeth

4: Serious aggression - Snaps, bites or attempts to bite.

Not observed/Not applicable

Section 3: Fear and Anxiety

INSTRUCTIONS: Dogs often show signs of anxiety or fear when exposed to particular sounds, objects, persons or situations—e.g. crouching or cringing with tail tucked between the legs; whimpering or whining, freezing, trembling, or attempting to escape or hide. Using the following 5-point scales (0=No fear, 4=Extreme fear), please indicate your own dogʼs recent tendency to display fearful behavior in the following circumstances.

13. When approached directly by an unfamiliar person while away from your home.*

0: No fear/anxiety: No visible signs of fear/anxiety

1: Mild

2: Slightly-Moderate

3: Moderate

4: Extreme fear/anxiety - cowers, retreats or hides, etc.

Not observed/Not applicable

14. In response to sudden or loud noises (e.g. thunder, vacuum cleaner, car backfire, road drills, objects being dropped, etc.).*

0: No fear/anxiety: No visible signs of fear/anxiety

1: Mild

2: Slightly-Moderate

3: Moderate

4: Extreme fear/anxiety - cowers, retreats or hides, etc.

Not observed/Not applicable

15. When an unfamiliar person tries to touch or pet the dog.*

0: No fear/anxiety: No visible signs of fear/anxiety

1: Mild

2: Slightly-Moderate

3: Moderate

4: Extreme fear/anxiety - cowers, retreats or hides, etc.

Not observed/Not applicable

16. In response to strange or unfamiliar objects on or near the sidewalk (e.g. plastic trash bags, leaves, litter, flags flapping, etc.*

0: No fear/anxiety: No visible signs of fear/anxiety

1: Mild

2: Slightly-Moderate

3: Moderate

4: Extreme fear/anxiety - cowers, retreats or hides, etc.

Not observed/Not applicable

17. When approached directly by an unfamiliar dog.*

0: No fear/anxiety: No visible signs of fear/anxiety

1: Mild

2: Slightly-Moderate

3: Moderate

4: Extreme fear/anxiety - cowers, retreats or hides, etc.

Not observed/Not applicable

18. When first exposed to unfamiliar situations (e.g. first car trip, first time in elevator, first visit to veterinarian, etc.).*

0: No fear/anxiety: No visible signs of fear/anxiety

1: Mild

2: Slightly-Moderate

3: Moderate

4: Extreme fear/anxiety - cowers, retreats or hides, etc.

Not observed/Not applicable

19. When barked, growled, or lunged at by an unfamiliar dog.*

0: No fear/anxiety: No visible signs of fear/anxiety

1: Mild

2: Slightly-Moderate

3: Moderate

4: Extreme fear/anxiety - cowers, retreats or hides, etc.

Not observed/Not applicable

20. When having nails clipped by a household member.*

0: No fear/anxiety: No visible signs of fear/anxiety

1: Mild

2: Slightly-Moderate

3: Moderate

4: Extreme fear/anxiety - cowers, retreats or hides, etc.

Not observed/Not applicable

21. When groomed or bathed by a household member.*

0: No fear/anxiety: No visible signs of fear/anxiety

1: Mild

2: Slightly-Moderate

3: Moderate

4: Extreme fear/anxiety - cowers, retreats or hides, etc.

Not observed/Not applicable

Section 4: Separation-related behavior.

INSTRUCTIONS: Some dogs show signs of anxiety when left alone, even for short periods of time. Thinking back over the recent past, how often has your dog shown each of the following signs of anxiety when left, or about to be left, on its own.

22. Restlessness/agitation/pacing*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

23. Barking or whining.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

24. Chewing/scratching at doors, floor, windows, curtains, etc.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

Section 5: Attachment and Attention-seeking.

INSTRUCTIONS: Most dogs are strongly attached to their people, and some demand a great deal of attention and affection from them. Thinking back over the recent past, how often has your dog shown each of the following signs of attachment or attention-seeking.

25. Tends to follow you (or other members of the household) about the house, from room to room.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

26. Tends to sit close to, or in contact with, you (or others) when you are sitting down.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

Section 6: Training and obedience

INSTRUCTIONS: Some dogs are more obedient and trainable than others. By checking the appropriate boxes, please indicate how trainable or obedient your dog has been in each of the following situations in the recent past.

27. Obeys a "sit" command immediately.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

28. Obeys a "stay" command immediately.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

29. Easily distracted by interesting sights, sounds or smells.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

Section 7: Miscellaneous problems

INSTRUCTIONS: Dogs display a wide range of miscellaneous behavior problems in addition to those already covered by this questionnaire. Thinking back over the recent past, please indicate how often your dog has shown any of the following behaviors.

30. Chases or would chase birds, given the chance.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

31. Chases or would chase squirrels, rabbits, etc., given the chance.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

32. Escapes or would escape from home or yard, given the chance.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

33. Chews inappropriate objects.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

34. Pulls excessively hard when on the leash.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

35. Urinates against objects/furnishings in your home.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

36. Urinates when left alone at night, or during the daytime.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

37. Defecates when left alone at night, or during the daytime.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

38. Hyperactive, restless, has trouble settling down.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

39. Playful, puppyish, boisterous.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

40. Active, energetic, always on the go.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

41. Chases own tail/hind end.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

42. Barks persistently when alarmed or excited.*

Never

Seldom

Sometimes

Usually

Always

Not observed/Not applicable

Thank you for providing this helpful information. This will help us determine what the best training plan would be for you and your dog. If you have multiple dogs that you would like to have assessed, please submit a separate questionnaire for each. We will contact you within 48 hours with a training recommendation or to have further discussion, thank you.

CAPTCHA

This field is for validation purposes and should be left unchanged.