Behavior consultation form for discussing your dog's behavior problems.

Please fill out the behavior consult form below to provide me with more information on your dog. You only need to enter as much information as you are comfortable with providing online. Thank you!

1. Your Name (required)

2. Your Address, including City, State and Zip

3. Phone

4. Email (required)

5. Number of people in your household; please list names and ages

6. Any other dogs in your household and type

7. Additional animals in your household and type

8. Dog's Name

9. Dog's Current Age

10. Dog's Sex

11. Dog's Breed or Mix

12. What did you like about your dog that helped in your decision to include in your household?

13. Spayed or neutered?

14. When and where did you acquire your dog?

15. How old was your dog when you brought him home?

16. What information, if any, do you have about your dog's life prior to coming to live with you?

17. Have you taken your dog to any obedience training classes and if so, what type of class (beginning, intermediate) and how did your dog react in a group setting?

18. Veterinarian, medications and current vaccination

19. Veterinarian, medications and current vaccination

20. Does your dog have any known physical problems?

21. Has your dog ever suffered a traumatic event, such as an attack by another dog or an unpleasant interaction with other animals or humans and if so, please describe.

22. Where does your dog sleep?

23. What do you feed your dog?

24. Please list any activities your dog likes.

25. Does your dog have any favorite treats?

26. Does your dog regularly socialize with any other dogs and if so how often and where?

27. How long do you usually leave your dog home alone?

28. Does your dog get daily exercise, and if so, what type? Also do you have a dog walker or do you take your dog to daycare, and if so how often?

29. Does your dog have any behavioral problems and if so, please describe in as much detail as you can, such as when and where the problems occur. What or who makes your dog agitated or excited?

30. Have you tried to solve the problems and if so, what have you tried and please describe results.

31. Is there anything else you'd like to share that we haven't asked?

32. How did you learn about I Love Dogs?