Around the Flock – Companion Animal Training
Speaking Engagements
Handouts
Puppy Behaviour Wellness Program
Parrot Behaviour Wellness Program
Baby-on-the-Way Dog Readiness Program
Help my pet
Canine Assessment Form
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First & last name
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Email
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Phone number
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Address
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Dogs name
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Age
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Breed
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Sex
Male Intact
Female Intact
Male Neutered
Female Spayed
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When and at what age did you acquire your dog?
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Where did you get your dog?
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What other pets live with your dog?
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What other humans live with your dog? Please list names and ages.
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Current veterinarian
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Last veterinary exam (YYYY-MM-DD)
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Do you consent that I contact your veterinarian for medical records?
Yes
No
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Medical concerns
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Current medications & supplements
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Food sensitivities
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Has your dog done previous training?
Yes
No
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If yes to the question above, what methods were used?
Positive Reinforcement
Aversives (yelling, prong collar, shock collar, spray bottles etc.)
Balanced
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Behavioural concerns
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What do you feel is the function of the behaviour(s) mentioned above?
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What have you tried so far?
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Did it make the behaviour better or worse?
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Has your dog ever shown aggressive behaviour? If yes describe the events.
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How long is your dog home alone for?
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Does your dog exhibit any behaviour problems when you leave him/her alone?
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Does your dog show any signs of distress during loud events such as fireworks, thunderstorms, trucks, shouting?
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