Canine Questionaire – Sage Holistic

Sage Holistic

Contact Number:
07523 288341

Email Address: sageholisticanimalcare@gmail.com

Contact

Menu

About
- About Alice
Canine Services
Equine Bodywork
- What Is Equine Bodywork?
- What To Expect
Contact

Please complete the intake form and Alice will get back to you as soon as possible.

Please enable JavaScript in your browser to complete this form.

Your Name *

First

Last

Email *

Phone number *

Address *

Vet Name *

Vet Contact Number *

Name Of Dog *

Age of Animal *

Breed of Animal *

Are They Neutered? (Yes/No) *

What Year Was Your Dog Neutered? *

Has Your Dog Ever Been Chemically Castrated? If Yes, What Year? *

Behavioural Changes After Neutering/Chemical Castration? *

In What Year Did You Get Your Dog? *

Has Your Dog Had Any Previous Homes/Come From A Rescue Centre? *

Please Provide Background History For Dogs With Previous Homes.

Does Your Dog Have Any Medical Issues? *

Does Your Dog Have Any Allergies? *

Does Your Dog Settle Easily At Home? *

Does Your Dog Get Distressed At Home? E.g. Separation Anxiety/Barking *

Does Your Dog Cope Well With Visitors In The Home? *

Has Your Dog Been To a Canine Behaviourist Or Trainer In The Past? *

Who Is Responsible For Training Your Dog? *

Has Previous Training With Your Dog Been Consistent And/Or Long Term? *

Do Provide Enrichment Activities For Your Dog? E.g. Kong, Chews Or A Snuffle Mat. *

Do You Walk Your Dog Off Lead? *

Please Rate Your Dogs Recall (1 - Poor, 5 - Excellent). *

1
2
3
4
5

Please Rate Your Dogs Ability To Walk On A Loose Lead (1 - Poor, 5 - Excellent). *

1
2
3
4
5

Please Rate Your Dogs Ability To Act In A Calm Manner Around Other Dogs (1 - Poor, 5 - Excellent). *

1
2
3
4
5

Please Rate Your Dogs Ability To Act In A Calm Manner Around People (1 - Poor, 5 - Excellent). *

1
2
3
4
5

Please Rate Your Dogs Prey Drive (Chase Instinct) (1 - Low, 5 - High). *

1
2
3
4
5

Please Rate Your Dogs Ability To Load & Travel In A Car, In A Calm Manner (1 - Stressed, 5 - Calm). *

1
2
3
4
5

Does Your Dog Have Any Triggers For Aggressive Behaviour? If So, What Are They?

Please Provide Previously Implemented Training Protocols Created By Training Professionals For Your Dog. *

Please Provide Any Training Goals You Have For Your Dog. *

Extra Comments