Behaviour Consultations, Bridgend County

Behaviour Consultation Request

Fields marked * are required.
Please answer the questions with as much detail as possible. You may answer ‘no’ or ‘not applicable’, but please remember the more information we have, the better we’ll be able to help.
If you are unsure of what the question is asking, there should be an information icon to the right which will give further information if you hover over it, or on a mobile device press on the icon.

Name *

Address *

Mobile *

Email *

Typical availability * When are you available for a consultation?

Disabilities Please advise if you have any disability, health of physical issue we should be aware of that would effect your ability to participate in training your dog.

Dog's Details

Name *

Breed *

Age *

Gender *
MaleFemale
Neutered *
YesNo

Your Dog's Behaviour

Problem Behaviour * Please describe the behaviour that you would like to address.

First Occurrence * When did you first notice this behaviour? Has the behaviour become more intense or frequent?

Linked Incident * Can you attribute this change of behaviour to a specific incident?

Predictable * Can you predict when the behaviour will happen, if so please give details?

Progress to Date * What have you done so far to address this problem? With what degree of success?

Recent Incidents * Please describe recent incidents in as much detail as possible; date/time, location, who is present, what happened before and after?

Goals * What would you consider an acceptable goal or outcome of a training programme?

Other Behavioural Issues

Anxiety Does your dog suffer from anxiety, if yes, please give details.

Aggression to People Is your dog aggressive to people? If yes, please give details

Aggression to Dogs Is your dog aggressive to other dogs? If yes, please give details

Aggression to Animals Is your dog aggressive to other animals? If yes, please give details

Barking Does your dog bark excessively? If yes, please give details.

Chasing Does your dog chase moving objects? If yes, please give details.

Attention Seeking Does your dog demand attention from you? If yes, please give details.

Destructive Is your dog destructive, e.g. chewing, scratching, digging? If yes, please give details.

Escapism Does your dog regularly escape from your house or garden? If yes, please give details.

Toileting Does your dog regularly toilet inside the house? If yes, please give details.

Running Away Does your dog run away from you when on a walk? If yes, please give details.

Separation Anxiety Is your dog distressed when left alone, or away from you? If yes, please give details.

Stealing Does your dog steal food or other objects? If yes, please give details.

Unruly Is your dog unruly, e.g. does he jump up, mouth, hump, eat non food objects ? If yes, please give details.

Compulsive Behaviour Describe any behaviours that you feel are compulsive.

Health

Vaccinations * Is your dog up to date on vaccinations or titre tests?

Allergies Does your dog have any allergies? If yes, please give details.

Medication Is your dog on any medication? If yes, please give details.

Health Has your dog had any medical or health conditions? If yes, please give details.

Vet's Advice Have you specifically asked your vet about your dog's behaviour? If yes, what was the vet's response?

Vet Contact * Do we have your permission to contact your vet about your dog's behaviour if necessary?
YesNo
Vet Visit * Please describe your dog's behaviour at the vet.

Background Information

Reasons for Having a Dog * Please describe your reasons for getting a dog.

Rehoming * Where did you get your dog?

Rehoming Age * How old was your dog when you brought him or her home?

Dog's Background * What do you know about your dog's background, e.g. dam, sire, number of littermates, early puppyhood, reason for surrender, street dog, etc?

Why This Dog * What were your reasons for choosing this particular dog?

Household Information

Home * What type of property do you live in, e.g. house, flat?

Garden * Do you have a fenced garden?

Changes Has anything within the dog's household changed recently, e.g. new housemate, death, divorce, house move?

Number of Adults *

Comments Do you have any comments on the relationship between the dog and any of the adults in the family?

Number of Teenagers *

Comments Do you have any comments on the relationship between the dog and any of the teenagers in the family?

Number of Children *

Comments Do you have any comments on the relationship between the dog and any of the children in the family?

Number of Toddlers *

Comments Do you have any comments on the relationship between the dog and any of the toddlers in the family?

Number of Babies *

Comments Do you have any comments on the relationship between the dog and any of the babies in the family?

Number of Dogs *

Comments Do you have any comments on the relationship between the dog and any of the dogs in the family?

Number of Cats *

Comments Do you have any comments on the relationship between the dog and any of the cats in the family?

Number of Other Animals *

Comments Do you have any comments on the relationship between the dog and any of the other animals in the family?

Family Is anyone in the family afraid of or dislikes your dog? If yes, please give details.

Training * Is there any conflict in the home with regards to training?

Diet and Feeding

Food * What do you feed your dog? Please be specific; brand, variety, canned, dried, raw, home cooked, etc.

Food Motivation * On a scale of 1-10 how food motivated is your dog? 1=very picky, 10=greedy pig.

Food Location * Where does your dog get fed?

Food Frequency * How often and when does your dog get fed?

Food Server * Who feeds your dog?

Food Delivery * How does your dog get fed, e.g. bowl, Kong?

Food Aggression Does your dog guard their regular meal from humans or other dogs? If yes, please give details.

Treats * Does your dog get treats? Please be specific; brand, variety, when, etc.

Engagement

Pastimes * What are your dog's favourite pastimes?

Play * What types of play do you engage in with your dog?

Exercise

Types * What types of exercise does your dog regularly get?

Lead Walks * Please describe your lead walks, e.g. how often, where, when, what do the walks entail, how your dog behaves.

Equipment * Please describe your walking equipment, e.g. make of harness or head collar, length of lead.

Off Lead * Please describe any off-lead time your dog gets.

Muzzle Does your dog wear a muzzle? If yes, please describe the reason and the make of the muzzle.

Routine

Alone Time * How long is your dog left alone on an average day?

Alone Time Location * Where is your dog kept when left home alone?

Alone Time Activity * What does your dog do when left alone and how do you know?

Your Return * What is your dog's behaviour like when you return home?

Crate * Is your dog content in a crate?

Interaction * What does your dog do when you're home and not interacting with him or her?

Furniture * Is your dog allowed on the furniture, e.g. yes, no, with permission?

Boundaries * Do you have any special rules or any boundaries in the house, e.g. baby gates or beds?

Rest * Where does your dog rest in the day when you are home?

Sleep * Where does your dog sleep at night? How well does your dog sleep, e.g. soundly, settles easily, easily disturbed?

Mealtimes * What does your dog do when you have your meals and snacks?

Visitors

Familiar People * Please describe what your dog does when familiar people come to your home, e.g. bark, jump, mouth, calm?

Unfamiliar People * Please describe what your dog does when unfamiliar people come to your home, e.g. bark, jump, mouth, calm?

Vehicle Outings

Behaviour * How does your dog behave in the car?

Frequency * How often does your dog go out in the car?

Locations * What sort of places do you take your dog to in the car?

Grooming and Handling

Tasks * Please list the grooming tasks that you perform yourself, e.g. bathing, brushing, trimming, nail clipping, teeth cleaning, ear cleaning.

Reaction * How does your dog react to the grooming that you do yourself, e.g. calm, reluctant, sensitive, struggles, bites?

Professional Groomer Does your dog go to a professional groomer? If yes, how does he or she react?

Toileting

Marking Does your dog mark indoors?

Involuntary Urination Does your dog urinate when excited, greeting, stressed etc? If yes, please give details.

Other Details Is there anything else we should know about your dog's toileting habits?

Temperament

Best Features * What do you like best about your dog?

Worst Features * What do you find most annoying about your dog?

Personality * Please describe your dog's personality, e.g. sensitive, anxious, energetic, hyperactive, fearful, confident etc

Training

Formal Training * Please describe any professional formal training your dog has received, e.g. classes, workshops, one to one training. What kind of advice were you given and how successful were the results?

Verbal Cues * Which words does your dog know and respond to reliably, e.g. sit, lie, come.

Goals * What are you training goals?

Successes * Have you had any training successes?

Rewards * What are your dog's favourite rewards, e.g. ball, walk, tuggy, sausages?

Reinforcement * How do you let your dog know when he or she has done something good?

Punishment * How do you let your dog know when he or she has done something bad?

Sociability

Other Dogs * How social is your dog with other dogs in general, e.g. social, selective social, tolerant, defensive, aggressive? Please give details if not social, e.g. lunging, growling, baring teeth, snapping, nipping biting etc.

Play Style * Please describe how your dog plays with other dogs.

Day Care/Dog Walker * Does your dog attend daycare, or have a dog walker? If yes, please give the details.

Bites to Dogs Has your dog ever bitten another dog and broken skin? If yes, can you estimate the ratio of flight to bites, e.g. 10 flights one of which resulted in a bite that broke the skin.

Attacked by a Dog Has your dog ever been bitten by another dog? If yes, please give details.

Other Animals Has your dog has any experiences with cats, other domestic animals, or wildlife that concerned you? If yes, please give details.

People How social is your dog with people in general, e.g. social, selective social, tolerant, defensive, aggressive? Please give details if not social, e.g. lunging, growling, baring teeth, snapping, nipping biting etc.

Bites to People Has your dog ever bitten a person and broken skin? If yes, please describe the event(s) in as much detail as possible, including whether the attack was sudden, unprovoked and how the dog seemed after the incident.

I agree to the Terms and Conditions and I consent to the information submitted being shared with South Wales Dog Training Academy.
Signed By *

On *

Once you click the Submit you'll see a spinning icon whilst the form is being checked. You will then get a message saying that your questionnaire has been submitted. If the form doesn't clear, it's likely that there's a problem with one of the questions. Please scroll up looking for an errors in red, correct any issues and try submitting the form again.