Grateful K9 Training & Behavior Questionnaire Thank you for taking the time to fill out this questionnaire. I look forward to working with you and your dog.Your InformationYour First and Last Name *Your Email *Address *Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryYour Phone Number *May I Text you on your phone? YesNoBest Time To Call MorningAfternoonEveningHow did you find Grateful K9? About Your DogYour Dog's Name *Where did you get your dog? *Breeder, rescue, shelter, as a gift, etc.Your Dog's Sex *Is your dog Spayed/Neutered? *Your Dog's Breed or Breed Mix *Take your best guess.Your Dog's Age *How long has your dog been with you? *Dog BehaviorWhat are your top 3 behavioral concerns for your dog? *Have you worked with another trainer? If so, what training company? *If so, can you tell me anything about that experience that might be important? Was there a particular incident that prompted you to seek help at this time with your dog? Dog Behavior DetailsWhat Training are you interested in? Private TrainingBoard & TrainGroup TrainingYes, I have reviewed the training options and pricing on Grateful K9’s website in the Services and Fees section? *YesHow does your dog respond to strangers when they enter your home? Check all that applyIgnoresGoes to them excitedly (in a friendly way)Jumps on them (in a friendly way)Growls/barks while retreatingGrowls/barks while going toward themMy dog would bite people if I did not restrain himOtherHow does your dog respond to strangers when he meets them away from your house (e.g. public place, park, etc.)? Check all that applyIgnoresGoes to them excitedly (in a friendly way)Jumps on them (in a friendly way)Growls/barks while retreatingGrowls/barks while going toward themMy dog would bite people if I did not restrain himOtherPlease check the areas your dog needs help with. *check all that applyHousebreakingJumping on peopleDigging and chewingPlay biting/mouthingPulling on the leashReacting poorly to other dogs while on leashBolting out doorsRunning awayStealing thingsChasing (kids, cat, cars, other)Mounting peopleMounting other dogsMisbehaving in automobilesExcessive barkingFearfulness & shynessOver-protectiveMarks territory inappropriatelySeparation anxietyBeggingCrate TrainingWhiningGrowlingBiting/ nippingPossessiveness (doesn't allow you to take items from him)Food Aggression (guards his food or aggressively takes food from other dogs or humans)Doesn't listenOver activenessEats fecesCounter surfingWhat type of daily exercise does your dog get? Is your dog currently on any medications? YesNoIf so, for what and for how long? Is your dog prone to or recovering from any injuries? If yes, please explain.How do you feed your dog? Free feed (food always available)Specific timesWhat brand of food do you feed your dog? Where does your dog sleep? check all that applyIn a crateIn a family member's bedIn his dog bed (not confined)Outside of houseOtherWhat percentage of the time is your dog inside? Is your dog crate trained? YesNoDoes your dog like to ride in the car? YesNoIn the car does he/she ride: check all that applyIn a crateLooseIn a seatbelt/harnessHow does he behave in the car? Do you walk your dog? YesNoDoes your dog pull on the leash? YesNoWhat kind of leash/collar/equipment do you currently use or have ever used? check all that applyHarness (leash attaches to chest)Harness (leash attaches to back)Head collar/halter (Halti, Gentle Leader, etc.)Belt collar (regular flat collar)Chain collarProng collarRemote/electronic collarPerimeter collar (electronic collar to keep dog on property)Off leashWhen you walk your dog and he sees another dog, does he: check all that applyIgnore the other dogShow some interest but keeps walkingGrowl and show aggression (e.g. lunges)Growl and tries to get away or hide behind youWag his tail in a playful manner and want to playPull hard to get to the other dog in a not-so-friendly wayOtherWhen you walk your dog and he sees a cat or other small animal, does he: check all that applyIgnore the cat/animalShow some interest but keeps walkingGrowl and show aggression (e.g. lunges)Growl and tries to get away or hide behind youWag his tail in a playful manner and want to playPull hard to get to the other animal in a not-so-friendly wayOtherWhat kind of 'patient' is your dog at the vet? check all that applyGreat - the vet can do anything to him.A little nervous, but behaves for exams.Scared - he stands very still and his body is stiff.Terrified - he urinates and/or defecates.Doesn't like it - growls and/or has snapped.Hates it - he must be muzzled or he'll bite.OtherDoes your dog allow you to 'examine' him? (Touch his feet, look in his ears, check his teeth, etc.)YesNoSometimesDoes your dog allow you to groom him? (Clip his nails, brush him, etc.)YesNoSometimesWhat happens if you interrupt your dog while he's eating? check all that applyHe doesn't appear to care.He tries to eat more quickly.He freezes and stands over his bowl.He growls, snaps or bites.Not sureDoes your dog allow you to take away a high-value or forbidden item? E.g. a bone, a toy, a sock he found on the floor.YesNoNot sureHas your dog ever had obedience training? YesNoIf yes, please describe. e.g. group classes, private lessons, board-and-trainAre you opposed to using any of the following training tools? check all that applyTreatsClickerHead collar/halter (Halti, Gentle Leader)Chain collarProng collarElectric collarIf opposed to a particular tool, is it because: check all that applyI had a bad experienceMy dog had a bad experienceI heard it was a bad toolI'm afraid I'll hurt my dogIt seems complicatedWhat commands does your dog know and perform consistently? What motivates your dog? check all that applyFoodAffection/PraisePlayNot surePlease list all (human) household members and ages of children living with your dog. Who do you think your dog sees as "leader" in your household and why? Please list all other animals in your household and their ages. Please indicate if your dog "gets along" with each animal. Has your dog ever gotten into a fight with another dog. Please briefly describe circumstancesWas either dog injured? YesNoIf yes, did injuries require vet attention? Please describeHow do you discipline your dog? How does your dog respond to discipline? check all that applyActs submissivelyCowersIgnoresRetaliates (growls, snaps)Accepts and moves onIs there anything else about your dog or your training goals that you want us to know? VerificationPlease enter any two digits *Example: 12This box is for spam protection - please leave it blank: Thank you for completing the Training Questionnaire. I hope to see you soon!