Behavior History Form

You have chosen a training package and scheduled your first session. Now, it is time to help me develop the most effective training plan for you and your dog by providing insight into your dog’s behavior history by filling out this behavior history form.

As you fill out this form, please provide complete and thorough information. Remember, there are no right or wrong answers. All information is helpful information and will remain private.

Behavior History Form

Name(Required)
Email(Required)
Address(Required)

DOG INFORMATION

Gender:(Required)
Is your dog spayed/neutered?(Required)
Have you done a DNA test?(Required)

HOUSEHOLD INFORMATION

Check all age groups represented by the people residing in, or spending a significant amount of time, in your household.
What other types of animals are part of your family? (Check all that apply)(Required)

MEDICAL & HEALTH INFORMATION

Veterinarian Contact Information:(Required)
MM slash DD slash YYYY
Do you give Crimson Hound permission to discuss your dog's case with your veterinarian, if necessary?(Required)
Drop files here or
Accepted file types: jpg, png, pdf, Max. file size: 256 MB.
    Vaccination requirement is age specific. Puppies should be vaccinated as is age appropriate. Titer results are accepted.

    BEHAVIOR INFORMATION

    Is anyone in your household afraid of this dog?(Required)
    Are you or another adult in the household able to physically control this dog?(Required)
    Check all of the behaviors that describe your dog's reaction to each of the following scenarios: HANDLING/GROOMING:(Required)
    STRANGE VISITORS:(Required)
    FAMILIAR VISITORS:(Required)
    FAMILIAR DOGS – YOUR HOME/YARD:(Required)
    STRANGE DOGS – YOUR HOME/YARD:(Required)
    PEOPLE – OUT ON A WALK:(Required)
    DOGS – OUT ON A WALK:(Required)
    MOVING OBJECTS (cars, bikes, joggers …):(Required)
    NEW/UNFAMILIAR OBJECTS:(Required)
    VET VISITS:(Required)
    CHILDREN:(Required)
    Is your dog "protective" of any of the following:(Required)
    How does your dog behave when you are preparing to leave the home?(Required)
    Check any behaviors that your dog does when left alone:(Required)
    May I add your name to the Crimson Hound mailing list to receive training tips, new classes and workshop offerings?(Required)
    This field is for validation purposes and should be left unchanged.

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