Pre Visit 1-2-1 Questionnaire 

Please fill in this form to give us details about your dog. This will save us a great deal of time if we have these answers prior to our appointment. Please answer as much as you can. Thank you. 
 
Owner / Handler Information 
Pet Information 
Dog
Bitch
Yes
No
Yes
No
Pet Behaviour Information 
Training History 
My dog attended vet puppy parties
My dog attended puppy obedience classes
My dog attended other obedience classes
My dog settled well in the classes
My dog constantly barked in the classes
My dog was very quiet in classes
About your dog 
Nervous
Underactive
Overactive
Stubborn
Obedient
Naughty
Aggressive
Moody
Unpredictable
Friendly
Aloof
Clingy
Cautious
Playful
Flighty
Bold
Attention Seeking
Highly Strung
Conflict Seeking
Submissive
Disobedient
Affectionate
Yes
No
Sometimes
Cooperative
Un-Cooperative
Clingy
Doesn't Listen
Aloof
Demanding
Easy Going
Hard Work
Time Consuming
Feeding your dog 
Your dogs health 
Your dogs behaviour issues: 
At the Vets
At the groomer or when being groomed
When dried off
Claw Clipping
When told off
Towards Traffic
Towards Bikes
Towards Joggers
When visitors arrive
Towards Other dogs
Towards People (strangers)
Towards Children
When asked to do something he/she doesn’t want to do
When disturbed during sleep
When Picked up or reached for
When stroked
When eating
when someone (dog or person) tries to take a toy or touch a toy/object/person your dog values
Towards family members
Your Appointment Date 
Thank you for taking the time to complete this form. It will help us with your consultation. 
 
 
 
 
 
 
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