Dog Behavior Questionnaire | Blaine Kennels Private Dog Training

Tell us about your dog!

Please fill out the following questionnaire as thorough as possible to the best of your knowledge.
Please note: We do not house train/potty train.

Your Name*
Your Dog's Name*
Email Address*
Phone Number*
Can we text you at this number?*
- Yes
- No
1. Has your dog ever bitten another person and broken the skin?
If yes, please explain the situation. Was the dog labeled by the city as an aggressive dog or potentially dangerous?
2. Has your dog ever bitten another dog and drawn blood?
If yes, please explain the situation.
3. Is your dog fearful of any specific things or situations?
If yes, please explain the situation.
4. Does your dog have any food or toy aggression?
(Growls when other people or animals are close to their food/toys, will not give up food/toys, snaps or tries to bite).
If yes, please explain the situation.
5. Does your dog chew or eat things they shouldn't such as shoes, clothes, or furniture?
If yes, please explain the situation.
6. Has your dog been sick or injured in the last 6 months? Do they have any current conditions or require medication?
(Coughing, excessive sneezing, wheezing, limping, swollen areas, redness, open sores, stitches, seizures, thyroid disease).
If yes, please explain the situation.
7. Does your dog have anxiety?
(Excessive whining/barking when away, chews up crate or other posessions when away or left alone, weary of other people other than owner).
If yes, please explain the situation.
8. Does your dog get along with other dogs?
If not, please explain how they react.
9. Is your dog leash reactive?
(Only when on a leash do they: lunge, bark excessively, snap at other dogs or people, growl).
If yes please explain.
10. How long have you had your dog? How old were they when they joined your family?
11. What commands is your dog already familiar with? Have they gone through a beginners obedience class?
(Sit, stay, come, off, roll over, fetch, heel, etc.)
12. List the specific behaviors that concern you.