Behavior Assessment

Your Information

First and Last Name

Email Address

Phone Number

Trainer's Email:

Dog Information

Dog's Name

Breed

Age

Weight

Sex

Male Female

Basic Commands

Responds to the "Heel" command

Never Sometimes Often Always

Responds to the "Sit" command

Never Sometimes Often Always

Responds to the "Down" command

Never Sometimes Often Always

Responds to the "Stay" command

Never Sometimes Often Always

Responds to the recall command

Never Sometimes Often Always

Walking

Stay's by the owner's side

Never Sometimes Often Always

Pulls on leash

Never Sometimes Often Always

Lunges at other dogs

Never Sometimes Often Always

Refuses to move

Never Sometimes Often Always

Circles around the owner

Never Sometimes Often Always

Guards owner when strangers approach

Never Sometimes Often Always

Barks at passing people or animals

Never Sometimes Often Always

Eats other animals' feces

Never Sometimes Often Always

Greeting

Easily approaches new people

Never Sometimes Often Always

Easily approaches new dogs

Never Sometimes Often Always

Sits or stands politely

Never Sometimes Often Always

Becomes overly excited

Never Sometimes Often Always

Urinates during greeting

Never Sometimes Often Always

Fearful during greeting

Never Sometimes Often Always

Agressive during greeting

Never Sometimes Often Always

Mouthing or nipping during greeting

Never Sometimes Often Always

Jumps on people

Never Sometimes Often Always

Inappropriate sniffing

Never Sometimes Often Always

Play

Playfulness

Never Sometimes Often Always

Plays with toys

Never Sometimes Often Always

Plays with people

Never Sometimes Often Always

Plays with other dogs

Never Sometimes Often Always

Engages in appropriate "chase and catch"

Never Sometimes Often Always

Plays softly with small animals

Never Sometimes Often Always

Plays softly with puppies or babies

Never Sometimes Often Always

Activity

Hyperactive

Never Sometimes Often Always

Couch potato

Never Sometimes Often Always

15-minutes of hard exercise per day

Never Sometimes Often Always

30-minutes of hard exercise per day

Never Sometimes Often Always

1-hour of hard exercise per day

Never Sometimes Often Always

2+ hours of hard exercise per day

Never Sometimes Often Always

Uninterrupted sleep

Never Sometimes Often Always

Uninterrupted naps

Never Sometimes Often Always

Fear

Separation anxiety

Never Sometimes Often Always

General anxiety or nervousness

Never Sometimes Often Always

Fear during thunderstorms or fireworks

Never Sometimes Often Always

Barks or growls at strangers

Never Sometimes Often Always

Avoids other dogs

Never Sometimes Often Always

Attacks dogs, if they instigate

Never Sometimes Often Always

Attacks humans, if they instigate

Never Sometimes Often Always

Fear of crates or confinement

Never Sometimes Often Always

Aggression

Stares or fixates on other animals

Never Sometimes Often Always

Lunges with intent to harm or maim

Never Sometimes Often Always

Instigates or provokes other animals

Never Sometimes Often Always

Mounts or pins other animals

Never Sometimes Often Always

Household

Asks to go outside

Never Sometimes Often Always

Has accidents in the house

Never Sometimes Often Always

Destructive behaviors when left alone

Never Sometimes Often Always

Barks at doorbells or alarms

Never Sometimes Often Always

Remains calm during bath time

Never Sometimes Often Always

Remains calm during family gatherines

Never Sometimes Often Always

Children and Adults

Responds well to hugging

Never Sometimes Often Always

Tolerates sudden movements

Never Sometimes Often Always

Plays well with children

Never Sometimes Often Always

Responds well to reaching for the head

Never Sometimes Often Always

Travel

Becomes anxious during car rides

Never Sometimes Often Always

Behaves well at the vet

Never Sometimes Often Always

Behaves well at the groomer

Never Sometimes Often Always

Behaves well at doggie daycare

Never Sometimes Often Always

Handling

Tolerates handling of the face

Never Sometimes Often Always

Ears

Never Sometimes Often Always

Mouth

Never Sometimes Often Always

Neck

Never Sometimes Often Always

Back

Never Sometimes Often Always

Belly

Never Sometimes Often Always

Rear

Never Sometimes Often Always

Tail

Never Sometimes Often Always

Genitals

Never Sometimes Often Always

Legs

Never Sometimes Often Always

Paws

Never Sometimes Often Always

Toes and toenails

Never Sometimes Often Always

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