About Your Dog
Your Dog's Home Environment
Please list their name, age, occupation, and hours away from home.
Name, Species, Breed, Sex/Desexed. Please also indicate the sequence in which you obtained the animals in your household.
Your Dog's Medical History
Your Dog's Problems/Issues
Your Dog's Training
Family Member: SIT, DOWN, STAY
Your Dog's Daily Schedule
Please describe your dog’s daily exercise, including the amount of time of each:
Your Dog's Diet and Feeding
Please note any other information that you feel may be relevant to this problem.
Please rate your dog’s personality using the Monash Canine Personality Questionnaire.
Please rate how well each word describes your dog’s personality by marking the appropriate box.
1 = really does not describe my dog,
6 = really describes my dog
**PLEASE SKIP THIS SECTION IF AGGRESSION IS NOT A PROBLEM**
Please answer Yes or No to these characteristics of your dog’s aggressive behaviour:
Aggression Screen - Part 1
Please complete the tables below indicating how your dog would react when faced with each
scenario. If your dog does not encounter any of the scenarios (i.e. you have never tried taking
a toy from him/her) you should just tick Not Applicable – DO NOT TEST YOUR DOG if
you are unsure.
How does your dog react to YOU when you do the following? DO NOT TEST YOUR DOG
Aggression Screen - Part 2
How does your dog react if a STRANGER did the following? DO NOT TEST YOUR DOG
Aggression Screen - Part 3
How does your dog react to the following? DO NOT TEST YOUR DOG