Problem Behavior Consultation Questionnaire

1. Does the dog exhibit signs of aggression towards people?
Yes    No

2. Does the dog exhibit signs of aggression towards other animals?
Yes    No

3. Has the dog bitten, or is likely to bite, a person?
Yes   No

4.Has the dog bitten, or is likely to bite, another animal?
Yes   No

1. Destruction:

1. Does the dog display destructive behavior?
Yes   No

2. Does the dog ONLY display destructive behavior when separated from a primary attachment figure?
Yes   No

 2. Inappropriate Urination/Defecation:

1. Does the dog display house soiling behavior?
Yes  No

2.Does the dog ONLY display house soiling behavior when separated from a primary attachment figure?
Yes  No

3. Vocalization:

1. Does the dog excessively vocalize?
Yes  No

2. Does the dog ONLY excessively vocalize when separated from a primary attachment figure?
Yes   No

4. General Behavior:

1. Does the dog always try to maintain contact with the primary attachment figure, such as following them around the house constantly? 
Yes   No

2. Does the dog always try to maintain contact when the primary attachment figure appears to be leaving?
Yes   No

3. Does the dog excessively greet the primary attachment figure when they return home?
Yes   No

If you answered yes to any of the above questions, please consult with the Doctors at Creedmoor Road Animal Hospital regarding the specific issue(s).

THIS QUESTIONNAIRE IS NOT DESIGNED TO DIAGNOSE DISORDERS.