Behavioural Assessment Online Registration
Below is a Behavioural Assessment form that we use in order to assess the temperament of your dog.
With the responses you provide, we are able to pinpoint exactly what needs to be worked on, as well as
acknowledge your dog's strengths in order to use them during the training. It is very important to
focus on their strengths just as much as (or more than) we focus on their weaknesses. We believe in
setting your dog up for success so that we build his/her confidence and build a level of trust between
dogs and their owners.
Please answer each question honestly as it will only help him/her in the end. There is nothing we haven't
seen, so don't feel like you are alone in this challenge.
ATTACHMENT & ATTENTION-SEEKING
SCALE:
1=not applicable
2=never
3=sometimes
4=usually
5=always
Displays a strong attachment for one particular member of the household
Tends to follow you (or other members of the household) about the house, from room to room
Tends to sit close to, or in contact with, you (or others) when you are sitting down
Tends to nudge, nuzzle or paw you (or others) for attention when you are sitting down
Becomes agitated (whines, jumps up, tries to intervene) when you (or others) show affection for another person
Becomes agitated (whines, jumps up, tries to intervene) when you (or others) show affection for another dog or animal
MISCELLANEOUS
SCALE:
1=not applicable
2=never
3=sometimes
4=usually
5=always
Chases or would chase cats given the opportunity
Chases or would chase birds given the opportunity
Chases or would chase squirrels, rabbits and other small animals given the opportunity
Escapes or would escape from home or yard given the chance
Rolls in animal droppings or other smelly substances
Eats own or other animals' droppings or feces
Chews inappropriate objects
Mounts objects, furniture, or people
Begs persistently for food when people are eating
Nervous or frightened on stairs
Pulls excessively hard when on the leash
Urinates against objects/furnishings in your home
Urinates when approached, petted, handled or picked up
Urinates when left alone at night, or during the daytime
Defecates when left alone at night, or during the daytime
Hyperactive, restless, has trouble settling down
Playful, puppyish, boisterous
Active, energetic, always on the go
Stares intently at nothing visible
Snaps at (invisible) flies
Chases/follows shadows, light spots, etc
Barks persistently when alarmed or excited
Licks him/herself excessively
Licks people or objects excessively
Displays other strange or repetitive behaviour(s)
AGGRESSION
SCALE:
1=none
2=low
3=moderate
4=high
5=severe
When verbally corrected or punished (scolded, shouted at, etc.) by you or a household member
When approached directly by an unfamiliar adult while being walked/exercised on a leash
When approached directly by an unfamiliar child while being walked/exercised on a leash
Toward unfamiliar persons approaching the dog while s/he is in your car (at the gas station, for example)
When toys, bones or other objects are taken away by a household member
When bathed or groomed by a household member
When an unfamiliar person approaches you or another member of your family at home
When unfamiliar persons approach you or another member of your family away from your home
When approached directly by a household member while s/he is eating
When mailmen or other delivery workers approach your home
When his/her food is taken away by a household member
When strangers walk past your home while your dog is outside or in the yard
When an unfamiliar person tries to touch or pet the dog
When joggers, cyclists, rollerbladers or skateboarders pass your home while your dog is outside or in the yard
When approached directly by an unfamiliar male dog while being walked/exercised on a leash
When approached directly by an unfamiliar female dog while being walked/exercised on a leash
When approached directly by a familiar male dog while being walked/exercised on a leash
When approached directly by a familiar female dog while being walked/exercised on a leash
When stared at directly by a member of the household
Toward unfamiliar dogs visiting your home
Toward cats, squirrels or other animals entering your yard
Toward unfamiliar persons visiting your home
When barked, growled, or lunged at by another (unfamiliar) dog
When stepped over by a member of the household
When you or a household member retrieves food or objects stolen by the dog
Towards another (familiar) dog in your household
When approached at a favorite resting/sleeping place by another (familiar) household dog
When approached while eating by another (familiar) household dog
When approached while playing with/chewing a favorite toy, bone, object, etc., by another (familiar) household dog
Are there any other situations in which your dog is sometimes aggressive? If so, please describe briefly:
FEAR & ANXIETY
SCALE:
1=none
2=low
3=moderate
4=high
5=severe
When approached directly by an unfamiliar adult while away from your home
When approached directly by an unfamiliar child while away from your home
In response to sudden or loud noises (e.g. vacuum cleaner, car backfire, construction, objects being dropped, etc.)
When unfamiliar persons visit your home
When an unfamiliar person tries to touch or pet the dog
In response to strange or unfamiliar objects on or near the sidewalk (e.g. plastic trash bags, leaves, litter, flags flapping, etc.)
When examined/treated by a veterinarian
During thunderstorms, firework displays, or similar events
When approached directly by an unfamiliar dog of the same or larger size
When approached directly by an unfamiliar dog of smaller size
When first exposed to unfamiliar situations (e.g. first car trip, first time in elevator, first visit to veterinarian, etc.)
In response to wind or wind-blown objects
When having nails clipped by a household member
When groomed or bathed by a household member
When stepped over by a member of the household
When having his/her feet toweled by a member of the household
When unfamiliar dogs visit your home
When barked, growled, or lunged at by an unfamiliar dog
Are there any other situations in which your dog is fearful or anxious? If so, please describe briefly:
EXCITABILITY
SCALE:
1=none
2=low
3=moderate
4=high
5=severe
When you or other members of the household come home after a brief absence
When playing with you or other members of your household
When the doorbell rings or someone knocks on the door
Just before being taken for a walk
Just before being taken on a car trip
When visitors arrive at your home
Are there any other situations in which your dog becomes over-excited? If so, please describe briefly:
Thank you!
Thank you for submitting this Behavioural Assessment. You will now be redirected to a payment page where you can conveniently pay online. If you would like to choose another option of payment, please continue by clicking "submit" below so we receive your information and we will then contact you within 2 business days to make arrangements.