Back to Pet Behaviour Pet Behaviour Questionnaire Registered Owner – NamePet’s nameAddressTelephone number (best number to call during the day):Email address Preferred method of communication Telephone Email Select AllAt what age did you obtain your pet:If rehomed, do you know the reason for rehomingHow would you describe your pet’s personalityDo you consider your pet to be (tick all those that apply) Destructive Poorly house trained Noisy / excessively vocal Demanding attention Aggressive (including snarling, growling, snapping and biting) Hyperactive / restless Nervous Depressed Disobedient Over excited Playful Select AllHas your pet ever bitten anyone or are you concerned they mightSelect here…YesNoPlease state belowIs your pet currently on any medication? Either prescribed or provided by yourself i.e. supplements.Select here…YesNoPlease state belowWhen did you first notice a change in your pet’s behaviour?Please describe in the space below any concerns you have about your pet’s behaviour.If multiple behaviours, please rank them in order of concern. Include details of when the behaviour occurs, how often and with whom.Have you sought behavioural advice before?Select here…YesNoWhere did you seek this advice:How comfortable is your pet with – being left home alone?Select here…comfortablesometimes comfortablenever How comfortable is your pet with – handling and grooming?Select here…comfortablesometimes comfortablenever How comfortable is your pet with – petting or hugging?Select here…comfortablesometimes comfortablenever How comfortable is your pet with – being disturbed when resting?Select here…comfortablesometimes comfortablenever How comfortable is your pet with – being disturbed when resting?Select here…comfortablesometimes comfortablenever How comfortable is your pet with – walking on a lead?Select here…comfortablesometimes comfortablenever How comfortable is your pet with – walking passed other dogs?Select here…comfortablesometimes comfortablenever How comfortable is your pet with – removing food?Select here…comfortablesometimes comfortablenever How comfortable is your pet with – removing objects?Select here…comfortablesometimes comfortablenever How comfortable is your pet with – visits to the vets?Select here…comfortablesometimes comfortablenever How comfortable is your pet with – fireworks / loud noises?Select here…comfortablesometimes comfortablenever How comfortable is your pet with – having visitors in your house?Select here…comfortablesometimes comfortablenever Are you considering rehoming your pet as a result of their behaviour?Select here…YesNoWould you consider referral to a qualified behaviourist?Select here…YesNoWould you be happy to bring your pet in for a physical examination or would you prefer to have a telephone consultation?Select here…In person consult and examTelephone callIs there anything else you think might be relevant, if so please state belowCAPTCHA Submit Enable cookies to show the form. Manage my cookie choices
