Dog on Dog Interaction Questionnaire

    Your Name

    Your Email

    Address

    City, State Zip

    Primary Phone Number

    Alternate Phone Number

    Dog's Demographics for both dogs:

    Dog's Names

    Breeds

    Ages

    Sex of both dogs

    Spayed/Neutered

    If Spayed/Neutered, at what age

    Adoption dates

    What are your dogs doing (that you can observe) that concerns you?

    Where (for example: at home, when on walks, etc.,) are your dogs engaging in these behavior(s)?

    Have you tried to do anything to improve the behavior(s)?

    If so, describe.

    What were the results?

    Please address the specific goals that you would like to reach with your dogs as a result of taking this class.

    Medical History:

    Has either one of your dogs recently been to the vet? If yes, please complete the next four questions:

    What was he/she seen for?

    What were the results?

    Have there been any medical issues in your dogs' past?

    Is either one of your dogs currently, or has either one of your dogs taken in the past anti-anxiety medication? If so, when, name and dosage?

    Socialization History:

    Please tell me what you know about your dog's past. For example, I would like to know at what age was each of your dogs taken from the litter, how often did your dogs meet people as a puppy, how about dogs? What was your dog's reaction when meeting new people and meeting new dogs. Please add anything that you think I should know about your dog's early socialization history.

    Please list family members (including yourself) that live in the household OR that visit regularly:

    Names

    Relationship

    Gender

    Age (of minors)

    Daily Schedule

    Lives at home or visits regularly?

    Please describe your dog's relationship with each person listed above. Include any problems (if any).

    Have you (or any other family member attended) a training class with your dogs?

    If yes, when? Where?

    Are there any behaviors such as sit, stay, down, or leave it, that your dogs respond to 9 out of 10 times?

    If yes, what are they?

    Dogs Routine:

    Please describe your dog's routine. If the routine is different during the week versus the weekend, please describe both.

    Where do they sleep?

    What do you feed your dogs?(select all that apply)

    If selected other, please elaborate.

    How often do you feed them? Please elaborate as needed.

    Do you leave food out for your dogs so that he can eat throughout the day?

    Dogs Exercise Routine:

    What is your dogs Exercise Routine? (select all that apply)

    Please list your dog's top 5 edible favorite treats:

    Do either one of your dogs play with toys?

    If yes, what kind?

    If other, please specify:

    Crate or Other Confinement Used:

    Are your dog's crate trained?

    Crate location when in use:

    Do they have free access to their crates?

    Do they enjoy spending time in their crates?

    Did you use a crate in the past, but no longer use one?

    If yes, why do you no longer crate your dogs?

    Departures:

    When you are not at home, where are your dogs?

    When you are at home, where do your dogs spend their time?

    Where are your dogs when guests come to visit?

    On average, how many hours are your dogs home alone during the workweek?

    During the weekened?

    Do your dogs have a doggie door and free access to the backyard, etc.?

    How do your dogs respond when a delivery person comes to the front door?

    How do your dogs respond when a friend/guest comes to your home?

    Has either one of your dogs ever growled, air snap, or "protected" any of his toys from someone?
    If yes, who from? Please describe the incident(s):

    What items were involved? Please tick all that apply.

    Empty food bowlBowl with kibbleWater dishA personMarrow- bonePig's ear/bully stickPlush toyBallSofa(s)

    What does your dog do when the other resident dog approaches his/her bowl? Toys? Chews or bones? Bed? You? Do they share toys without incident?

    Do the behaviors you're concerned about ever include one dog humping the other dog? Standing over the other dog's back or neck? Staring the other dog down? Stalking the other dog? Controlling the movements of the other dog?

    If yes, which ones?

    Have there been any similarities between the incidents, such as the other dog making a squeaky or high- pitched noise or running fast or excitedly?

    Does your dog often or regularly pin the other dog down with his/her body? Charges at the other dog? Fight with the other dog?

    Do your dogs have other dog friends or meet other dogs with whom this behavior (or these incidents) does not happen?

    How many doggie friends do they have besides each other? How often do they play together?

    Have you noticed any difference in your dog's relationship when they have had more exercise than usual?

    Did anyone in the household intervene to stop the fight?

    If so, did they get bitten? Where? Did the bite require a visit to the doctor for stitches?

    What do you like MOST about your dogs?

    What do you like LEAST about your dogs?

    Lasting change in our dog's behavior requires that we also make changes to our behavior. Are you willing to also make changes to your response to reach your goals and help your dogs?

    Please elaborate

    Please list additional issues with your dogs that you have questions about or would like to address:

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