Questionnaire

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Contact information

Name first name: *

Address:

Postcode:

Residence:

Email address(es): *

Telephone: *

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General information

List your family members and describe their relationship with your dog:

List your other pets and describe their relationship with your dog:

Have you had other dogs before? If so, which breeds?

What is your living situation?

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Information about your dog

Name:

Ras:

Sex:

Date of birth:

Current weight:

Veterinarian ( contact details)

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History of your dog

Where does your dog come from & why did you choose to get your dog here?

Do you know anything about your dog's living conditions during the first weeks with the breeder?

Why did you choose this breed?

Was the mother dog (and possibly father) present with the puppies?

At what age did your dog come into your home?

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Character of your dog

How would you describe your dog's personality?

Has your dog ever exhibited aggressive behavior (growling, showing teeth, snapping, biting) towards family members?

How does your dog react to visitors? Is there a difference between famous and unknown people?

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Health of your dog

Are there any known medical problems with your dog?

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Undesirable behavior

Describe in a few sentences what the unwanted behavior is for which you require our help? (If there are multiple items, number them with number 1 being the most important).

Since when did the unwanted behavior start?

What have you already done to change/reduce the behavior? To what extent has this helped to reduce the behavior?

Has your dog taken medication or supplements in the past for his behavioral problem? If so, which one and what dosage?

What do you hope to achieve with your dog?

Are there other things you would like to say that are relevant to the problem?

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Daily life

If the dog is home alone, where is he?

What types of play do you do with your dog?

What does a typical day look like for your dog? (24 hours)