QUESTIONNAIRE

Please select the problem relating to your dog from the subjects below, and then remember to fill in a few personal details about your dog at the bottom of this page.

Nervousness | Aggression | Bitch's Problems | Allergies

Bits & Bobs | Your Dog's Personal details

NERVOUSNESS
 

Does your dog shy away from strangers? Yes No
Does your dog bark continuously at visitors to your home? Yes No
Does your dog bark at people in the street? Yes No
Has your dog been frightened by someone or had a bad experience? Yes No
Did you get your dog from a rescue kennel? Yes No
Was your dog kept with other dogs in a kennels up to the age of 12 weeks or more? Yes No
Is your dog afraid of men in particular? Yes No
Is your dog afraid of fireworks, gunshots or loud bangs? Yes No
Is your dog afraid of thunderstorms? Yes No
Does your dog bark a lot when left alone? Yes No
Does your dog chew your belongings when left home alone? Yes No

Now please remember to complete your dog's individual details and your email address, click here


AGGRESSION


Has your dog become aggressive since being attacked or frightened by another dog? Yes No
Is your dog aggressive towards other dogs but you have no idea why? Yes No
Is your dog friendly with other dogs when off lead but seems very aggressive when restrained by the lead ? Yes No
Is your dog jealous of another dog in your home? Yes No
Does he/she always try to get all the attention for themselves? Yes No
Is this when fights break out? Yes No
Is your dog dominant towards other dogs and/or towards you.? Yes No
Does your dog put his/her head across the shoulders of other dogs before a fight? Yes No
Does your dog growl or threaten you when you try and make it do something? Yes No
Is your male dog only aggressive towards other male dogs? Yes No
Has your aggressive male dog been castrated? Yes No
Is your dog likely to snap and bite at someone? Yes No
Are you worried your dog might lunge at someone in the street? Yes No

Now please remember to complete your dog's individual details and your email address, click here


BITCH'S PROBLEMS

Does your bitch suffer from phantom pregnancies? Yes No
Would you like to prevent her next phantom pregnancy? Yes No
Is your bitch suffering from a phantom pregnancy right now? Yes No

Now please remember to complete your dog's individual details and your email address, click here


ALLERGIES
Does your dog scratch excessively and you can't find out why? Yes No
Does you dog have hot spots and/or eczema? Yes No
Is your dog allergic to grass, pollens and/or house dust mites? Yes No

Now please remember to complete your dog's individual details and your email address, click here

OTHER PROBLEMS
Do you have a dog with a poor appetite that won't be tempted by it's dinner bowl? Yes No
Does your dog get sick in the car? Perhaps your dog dribbles, whines or is just very restless in the car. If you recognise any of these symptoms then click yes. Yes No
Is your dog over exitable and hyper active? Yes No
Does your dog hardly seem to rest or sleep during the day? Yes No
When you take your dog to a show, are you disappointed? The keen alert dog in training, seems bored and flat, switched off and disinterested? Yes No

Now please remember to complete your dog's individual details and your email address, click here

PERSONAL DETAILS
Please tick the sex of your dog Male Female
Is your dog neutered or not? Yes No
Is your dog fed on: Dry Commercial Diet Canned Diet Home Cooked Diet Raw Diet Other Diet
What age is your dog? (please type in)
What Breed is your dog? (please type in)
Please type in your e-mail address


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