Puppy & Dog Training, Ipswich – Doggy Dogma
All Ages. All Breeds, All Problems
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Doggy Dogma Questionnaire
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Your First Name
Surname
Dog’s Name
Dog’s Age & Breed
Address
Address Line 1
City
Australian Capital Territory
New South Wales
Northern Territory
Queensland
South Australia
Tasmania
Victoria
Western Australia
State
Postcode
Email
Home Phone
Mobile Phone
Back Ground Information
Where and why you selected your dog.
Where did you get dog from?
How long have you had the dog?
Have you had a dog previously? If yes, please give some details about your past dog experience.
Why did you choose this breed?
Why did you choose this dog?
Physical & Medical Issues
Who is your Vet?
Is the dog currently vaccinated?
Yes
No
When was your dog’s last veterinary exam?
Does your dog have any known medical problems?
Yes
No
Long Answer
Is your dog on any medication?
Yes
No
Is your dog desexed?
Yes
No
Please provided details as to why you have chosen not to de-sex your dog.
Does your dog have any skin allergies?
Yes
No
Does your dog have any food allergies?
Yes
No
Please provide details of the Allergy.
Please provide details of the Allergy.
Food, Treats & Chew Items
Type of Food being feed to your dog – include brand names if possible
What types of treats, cookies or chew items does the dog get, and how often?
How many times a day is the dog fed?
Is feeding is on a schedule? At what time(s) is the dog fed?
Does the dog finish right away and finish the entire meal?
Where is the dog fed and who is nearby when he eats?
Who does the feeding?
Does the dog get “people food” and if so at what location?
Logistics
Where does the dog sleep?
Is the dog allowed on the furniture?
Where does the dog eliminate?
Where is the dog kept when no one is home?
For what period of time, on average, is the dog left alone?
What percentage of the time does the dog spend indoors versus outdoors?
Training
Has the dog had any previous training? (Describe familiar cues, training methods and who did the training.)
What tricks does the dog know?
Describe how you reprimand, correct or punish your dog for unwanted behaviour, and give an example of the circumstances under which you might do so.
Describe how you reward your dog for good behaviour.
Who will be responsible for training the dog?
General Information
What would you most like to change about your dog’s behaviour? Name at least three things, in order of importance.
Is the dog house broken? Crate trained?
What type of exercise does the dog receive?
Can you describe a typical day in the life of your dog?
What is the dog’s favourite treat? Can you name two others he enjoys?
What is the dog’s favourite toy or game?
What is your dog’s favourite activity?
What is your least dog’s favourite activity?
Can family members handle the dog physically? Bathe? Trim nails?
Do you plan to do any type of competition, dog sports or therapy-related activities with your dog?
Yes
No
Not sure
Behaviour Issues
can you describe the behaviour that your dog is displaying?
What would you like the dog to do instead?
When did the behaviour first manifest?
Were there any changes in your household when the behaviour first manifested?
How often does the behaviour occur?
Under what specific circumstances does the behaviour occur?
In what location does the behaviour occur?
Who is present when the behaviour occurs?
Has the FREQUENCY of the behaviour increased, decreased or remained the same?
Has the INTENSITY of the behaviour increased, decreased or remained the same?
When was the most recent incident?
What prompted you to seek help at this time?
What has been done so far to address the problem?
How much time and effort are you willing to spend on resolving this issue?
Have you considered the options should the issue not be solvable?
Can you offer other illumination that might be helpful?
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