Back to Pet Behaviour Pet Behaviour Questionnaire Type of Pet:(Required)Select hereDogCatRegistered Owner – Name:(Required)Pet’s Name:(Required)Address:Telephone Number (best number to call during the day):Email Address: Preferred Method of Communication: Telephone Email Select AllFrom where did you obtain your pet?At what age did you obtain your pet?Reason for obtaining your pet?If rehomed, do you know the reason for rehoming?Do you have any other pets? Please list below, including type (i.e. dog/cat), age and a brief description of their relationship with the cat named above:How would you describe your pet’s personality?Do you consider your pet to be (tick all those that apply): Destructive Poorly house trained Noisy / excessively vocal Demanding attention Aggressive (including snarling, growling, hissing, snapping and biting) Hyperactive / restless Nervous Depressed Disobedient Over excited Playful Select AllHas your pet ever bitten anyone or are you concerned they might?Select here…YesNoPlease state below:Does your pet have any medical conditions – currently or in the past? If yes, please state below:Is your pet currently on any medication? Either prescribed or provided by yourself i.e. supplements:Select here…YesNoPlease state below:When did you first notice a change in your pet’s behaviour?Were there any significant changes to your household at this time?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.Is there anything else you think might be relevant, if so please state below:Have you sought behavioural advice before?Select here…YesNoWhere did you seek this advice?Are you considering rehoming your pet as a result of their behaviour?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 callWould you consider referral to a qualified behaviourist?Select here…YesNoHow 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 – 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 How comfortable is your dog with – walking on a lead?Select here…comfortablesometimes comfortableneverHow comfortable is your dog with – walking passed other dogs?Select here…comfortablesometimes comfortableneverHow comfortable is your dog with – removing food?Select here…comfortablesometimes comfortableneverHow comfortable is your dog with – removing objects?Select here…comfortablesometimes comfortableneverHow many cats in your house?Does your cat ever show inappropriate mounting or sexual behaviour?Select here…YesNoDoes your cat over-groom?Select here…YesNoDoes you cat eat unusual foods or objects of no nutritional value?Select here…YesNoDoes your cat regularly use a litter tray?Select hereYesNoDoes your cat urinate in inappropriate places?Select here…YesNoDoes your cat defecate outside the litterbox within your house?Select here…YesNoHow many litter trays?Where are they located?Where are your cats food and water bowls located? Are they next to each other? How many?Water BowlsFood BowlIs your cats appetite good or poor?Select hereGoodPoorDoes your cat enjoy treats?Select hereYesNoDoes you cat have a scratching post?Select hereYesNoWhere is the scratch post located?Where does your cat sleep at during the day?Where does your cat sleep at night?Do they prefer high up places to rest?Select hereYesNoIs your cat active at night?Select hereYesNoIs your cat an indoor only cat or outdoor cat?Select hereIndoor onlyIndoor / outdoorIf outdoor, how does your cat access the outdoors?Select hereCat flapOtherIf other, please state:How much time does your cat spend outdoors (approx. hours) in the summerHow much time does your cat spend outdoors (approx. hours) in the winter?How far does your cat roam?Select hereYour garden onlyOne or two houses awayFurtherDoes you cat stay away from home for several days at a time?Select hereYesNoDoes you cat protect their territory?Select hereYesNoIf yes, how?Is your cat playful?Select hereYesNoDo they instigate play?Select hereYesNoHow does your cat play?CAPTCHA Submit Enable cookies to show the form. Manage my cookie choices
