Bliss Bound Hound - Oakland, CA

Date:

Email:

Phone # :

Client Name:

Dog Name:

Dog Breed:

Where did you get your dog?

How old was your dog when you got him/her?

How old is your dog now?

Does your dog have any history of or current health problems?

If "yes", please describe:

Is your dog comfortable with typical groomer handling (nail clipping, contact with unfamiliar people)?

How many walks a day does your dog normally go on?

How many times a week does your dog run off-leash?

How many miles a week would you say your dog walks?

How many hours a week would you say your dog runs off-leash?

Does your dog pull on leash?

Does your dog hide, bark, whine, and/or growl (known as “reactive” behavior) at sudden noises (door knocking, construction sounds, etc.)?

If yes, please describe the types of noises and what your dog’s behavior looks like in these situations.

Does your dog exhibit the above reactive behaviors toward people?

If so, are the people...?

Have you noticed this behavior more frequently with adults or children, is it about the same with both, or are you unsure?

Have you noticed if it happens more with women or men, is it about the same with both, or are you unsure?

Can you describe some specific circumstances when you have noticed this behavior?

Does your dog ever display reactive behavior toward other dogs?

If so, are the dogs new, unfamiliar dogs, or are they dogs your pup has met before?

Have you noticed if it happens more with large or small dogs?

Does this happen more with male or female dogs, is it about the same regardless of gender, or are you unsure?

Have you noticed reactive behavior more often with other dogs who are not fixed?

Are there any other physical or behavioral characteristics that are typical of the dogs your pup is reactive toward?

Can you describe the circumstances when you have noticed this behavior?

If your dog does ever display reactive behavior for any reason, does this behavior increase when your dog is on a leash?

Do you notice an increase in reactive behavior when other dogs are on a leash and your dog is not?

Do you notice an increase in reactive behavior when other dog and your dog are on a leash at the same time?

Which of the following does your dog enjoy more: playing with other dogs, playing fetch with a human, or cuddling up next to a person at home?

When playing with other dogs, does your dog do a “play bow” first, laying head and forelegs on the ground with hind quarters up in the air?

Please respond to the next few questions using “intense”, “moderate”,“mild”, and “none” to describe your dog’s play style with other dogs.

Play Biting:

Paw over/mounting:

Giving chase:

Being chased:

Herding (Chase, nip, and bark):

Chasing a ball:

"Keep Away":

Tug of war:

Other toys:

Does your dog like to swim?

How fast would you say your dog eats, extremely fast, somewhat fast, about average, slowly, or not sure?

Would you describe your dog as treat motivated?

Does your dog ever urinate or defecate inside (even on a training pad)?

How many times a day does your dog normally defecate?

How would you describe your dog’s normal stool?

How would you describe the way your dog feels about riding in a vehicle: loves it, doesn’t mind it, hates it, don’t know?

Does your dog have a front window “perch” in your home where they often watch the street?

Does your dog bark when people and dogs pass by the house?

If you answered the front door and your dog saw a squirrel outside, how likely is it that your dog would run after the squirrel: very likely, moderately likely, unlikely, or not sure?

Does your dog use a crate as a regular “den” for relaxing and sleeping?

Does your home have an outdoor area your dog uses?

Has your dog ever been acclimated with other pets that would typically be prey animals such as cats?

Does your dog do regular training practice daily?

Does your dog ever jump up/paw over on people and/or other dogs?

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