Reactive/ anxious Dog Questionnaire
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
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
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
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
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
6.
Does your dog have any sound phobias? (mark all that apply)
No
Yes, fireworks
Yes, thunder
Yes, other loud sounds
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
8.
Would you describe your dog as generally shy, nervous or afraid?
Never
In certain situations
Often but not always
All of the time
9.
Have you tried to help your dog with any of these behaviors? If so, how?
No
Yes, with a traditional trainer
Yes, with a balanced trainer
Yes, with a positive reinforcement trainer
Yes, with a Behaviorist
Other (please specify)
10.
Have you given your dog any medication to aid in reducing any unwanted behaviors?
No
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
Current Progress,
0 of 10 answered