THE DOGGIE DO RIGHT-911

"WILD CHILD"

DOG BEHAVIOR PROFILE

When groomed/brushed/touched all over his body:

placed on his side while you brush his tummy, paws touched, nails clipped, teeth brushed and ears cleaned, your dog will:

For the next two questions, please chose either YES or NO.

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Does Your Dog Do This?
Do You Feel Like This?

All dog owners/handlers are required to complete this form with as much detail as possible, and then to submit it to Doggie Do Right-911 for review. If we have any questions about any information on the form, we will contact you . Please completely fill out this page for one dog only. If you have another dog, go back to the previouspage and fill out the form a second time. And so on.

Please add any details to this form that may come to mind. Details such as your dogs History, Health Problems, Personality Quirks, Training History, Bad Experiences that may help us to help you help your dog. No detail is too small or too insignificant.

PERSONAL CONTACT INFORMATION

First Name:
Last Name:
Address:
City:
State:	Zip:
Phone:
Cell:
Email:

Please describe your dog training needs in detail:

DOG/PET INFORMATION

Pet Name:
Pet Age:
Pet Breed:
Pet Gender:	Male: Female:

Where did you get your dog from?
How old was dog when you got it?
What kind of training has your dog had?:	self- trained public classes private training board and train no training at all
Is your dog on medication? No: Yes:
If yes, for what reason:
Has your dog been treated for any serious illnesses? No: Yes:
If yes, what for?

AREA 1- EXCITABLE

Pees when excited or afraid
Pees when greeting visitors
Pees when reprimanded
Whines/barks for no reason
Whines/barks for attention
Whines/barks when left alone
Chews things destructively
Chews, licks or sucks on self
Pulls on leash [backwards]
Gets car sick
Eats own stool
Eats stool of other dogs

Shy of: men women kids

Shy of dogs
Shy of sounds
Shy of thunderstorms
Shy of visitors to house
Spooks at new things in home
Barks and withdraws or runs away when the doorbell rings and people enter
Afraid of being left alone
Follows you around the house
Pesters you for petting
Sleeps on bed at night

AREA 2 – OVERACTIVE OR HIGH ENERGY

Jumps on visitors to home
Jumps on you or family members
Jumps on sofa or bed
Jumps on counters or table
Jumps baby gates
Jumps fences
Raids garbage cans
Steals food
Steals personal objects
Doesn't come when call
Runs out of front door
Barks at front door

Relax and enjoys
Struggles, and then relaxes and enjoys
Bites brush or clippers
Growls, snarls or bites you
Can't catch dog to groom/bathe
Must wear muzzle
Must be tranquilized
Vet is only person that can do it

AREA 3- AGGRESSIVE BEHAVIOR

Growls at human strangers
Growls at strange dogs
Nips ankles
Turns away when people reach to pet it
Tends to be aloof and independent
Lays in doorways
Lays on top of stairs
Lays on couches, sofas and beds
Pulls on leash [forward]
Bites leash when walking

Humps people or things

Growls at you
Growls at family members
Growls, Snaps, Nips at family when in possession of toys, food, garbage or rawhide/bones

Growls, Snaps, Nips at family when near foodbowl or eating out of food bowl

Chases people/cars/bikes/skateboards/rollerbladers

Chases or kills animals. Type of animal:

Digs holes in backyard or destructive when left alone in backyard

Barks, and moves forward when the doorbell rings (no jumping or nipping)
Barks, and will not stop barking when the doorbell rings
Barks, and runs forward to nip/jump at people when the doorbell rings and people enter my home

My dog has bitten: Men Women Children Animals

Type of animal bitten

My dog has bitten times.

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The person or animal bitten had to see a vet or doctor: No: Yes:

There was legal action against me: No: Yes:

If there is any other type of pertinent information that you want to provide regarding your dog's history, health, personality quirks or behavior, please enter it into the box below. No detail is too small or insignificant:

Send your information by clicking this button>>>>>>