Behavior History & Goal Assessment

General Information

Pet Information

Daily Activities & Routines

Training History/Reinforcers

Handling

How does your dog react to the following types of handling?

Medical

Behavior

Miscellaneous Behaviors – Please answer the following as they apply to your dog:

Reactivity – Check all that apply to how your dog reacts to the following:

Aggression/Bite History – Has your dog ever displayed any of the following:

Aggression/Bite History – Has your dog ever displayed aggression in these situations:

Principal Concern

Client Goals

In addition to modifying your dog’s unwanted behavior please answer the following: