Reactive/ anxious Dog Questionnaire

Question Title

* 1. Does your dog display any of these behaviors when he/she encounters a person, dog or specific object? (mark all that apply)

Barks

Lunges

Growls

Snaps or Bites

Cowers

Runs Away

Hides

None of these

Question Title

* 2. How would you describe your dog’s birth parents?

Did not meet either parent

Both were outgoing and seemed relaxed

Both seemed to have some fear/anxiety

One was relaxed and one was fearful/anxious

Only met one - he/she seemed relaxed

Only met one - he/she seemed anxious

Question Title

* 3. Was your dog socialized with people, other dogs, new environments and novel objects before he/she was 6 months?

No, my dog was kept in the house until he/she was 6 months (or until fully vaccinated)

Yes, my dog was exposed to many people. dogs, new environments and novel objects before 6 months of age.

I did not have my dog until he/she was older than 6 months

Question Title

* 4. Did your dog experience any traumatic events prior to 1 year of age?

Yes, was scared by a person

Yes, was scared by another dog

Yes, was scared by a person and a dog

Yes, was scared by something else

No, never experienced a traumatic event

Question Title

* 5. What training tools have used with your dog? (mark all that apply)

Treats

Toys

Choke chain or pinch collar

Harness

Regular buckle collar

E collar

Clicker

Gentle Leader

Question Title

* 6. Does your dog have any sound phobias? (mark all that apply)

Yes, fireworks

Yes, thunder

Yes, other loud sounds

Question Title

* 7. Does your dog exhibit any of the following when left alone? (mark all that apply)

Vocalizes (barks, whines, howls, etc.)

Destroys objects (furniture, toys, door frame, etc.)

Urinates or Defecates

Greets you overly excitedly when you return

Question Title

* 8. Would you describe your dog as generally shy, nervous or afraid?

Never

In certain situations

Often but not always

All of the time

Question Title

* 9. Have you tried to help your dog with any of these behaviors? If so, how?

Yes, with a traditional trainer

Yes, with a balanced trainer

Yes, with a positive reinforcement trainer

Yes, with a Behaviorist

Other (please specify)

Question Title

* 10. Have you given your dog any medication to aid in reducing any unwanted behaviors?

Yes, with a daily medication

Yes, with an “as needed” medication

Yes, with CBD or other cannabis supplement

Yes, with an over the counter supplement