General Information:

Dog's Name _________________________Age ________ Sex M F
Birth date ____________________________
Breed _______________________________
What age was your dog when you got him/her? _________________
Did you get from breeder, rescue, shelter, pet store, other? _________________________
Number of people in household. Adults _______ Children ________

Does your dog like children? Y N Please describe how your dog behaves around children _____________________________________________________

Do you have other pets? Y N If yes, how does the dog get along with the other pets in 
your household? ____________________________________________________
Has your dog had any obedience training? If so where and what kind?

If no obedience training what commands do you use at home? _________________________________________________________

Where does your dog sleep at night? ____________________________________
What brand of dog food do you feed your dog? ____________________________
What is your feeding schedule? ________________________________________

Health and Grooming

Does your dog have any health problems? Y N
Please describe _____________________________________________________
Does your dog have any allergies? ______________________________________
Are there any sensitive areas on your dog's body?

Behavior

How does your dog behave when someone takes a toy or food away?
_______________________________________________________
When a stranger comes to your door, what happens?

_______________________________________________________

What are some of the things your dog is afraid of? _______________________________________________________
Has your dog ever growled or bitten anyone? Y N

Does your dog jump fences? Y N

Are there any behaviors that annoy you, or you would like to change? Y N
Please list: