Behaviour Questionnaire
Section 1 of 13
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Canine Behaviour
Consultation Questionnaire
To give your dog the most personalised care, we'd love to learn as much as possible before your visit. Your answers help us understand your dog's world — please be as detailed as you can.
Section 1
Your Details
Let's start with some basics about you. This helps us prepare your file before the consultation.
Fields marked ✦ are required.
Please enter your first name.
Please enter your last name.
Please enter your phone number.
Please enter a valid email address.
Who is most responsible for day-to-day decisions about your dog's care?
Tick all who will be present — all primary carers are encouraged to attend.
🐕 Section 2
About Your Dog
Tell us the basics about your dog. This gives our vet essential context before assessing behaviour.
Please enter your dog's name.
Please enter the breed.
General Activity Level
🏠 Section 3
Home & Household
A dog's home environment plays a huge role in their behaviour. Help us understand your household setup.
Tick all that apply — these changes can significantly affect dog behaviour.
Household Members
List everyone who lives with your dog regularly. Add as many rows as needed.
NameAgeHours away from home per day
Other Pets in the Household
NameSpecies / BreedSex & Desexed?Age
📖 Section 4
Your Dog's Background
Early life experiences shape adult behaviour more than almost anything else. Please share what you know — even partial information helps.
Puppyhood & Early Life
❗ Section 5
The Main Concern
Tell us what's prompted your visit. There are no wrong answers — everything you share helps us help your dog.
Tick all that apply — this guides which follow-up questions appear.
Problem History
Include: date, time of day, location, who was present, what preceded it, and what happened.
⚕️ Section 6
Medical History
Medical conditions and medications can directly affect behaviour. Please share everything you can — our vet will review this carefully.
Include all prescription medications, supplements, and herbal remedies.
e.g. Bravecto, NexGard, Heartgard, Revolution, Simparica
Behavioural Medications
Include pharmaceutical and herbal remedies (e.g. Zylkène, Adaptil, Rescue Remedy, Anxitane, prescribed antidepressants).
🎓 Section 7
Training & Obedience
Your dog's training background tells us a lot about how they process instructions and where reinforcement has occurred.
e.g. Hunting, herding, protection / Schutzhund, scent work, agility
Command Compliance — At Home
Rate how reliably your dog responds to each family member at home. Use: ✅ Reliable (>80%) / 🆗 Fair (40–80%) / ❌ Poor (<40%) / — Not trained
| Family member | Sit | Drop/Down | Stay | Come | Heel |
|---|---|---|---|---|---|
Command Compliance — Out & About
Rate the same commands when on walks or in distracting environments.
| Family member | Sit | Drop/Down | Stay | Come | Heel |
|---|---|---|---|---|---|
🏃 Section 8
Exercise & Daily Routine
Exercise and daily structure are cornerstones of good canine mental health. Tell us about your dog's typical day.
Enter approximate daily duration for each type.
e.g. Agility, flyball, scent work, breed shows, lure coursing, dock diving
Typical 24-Hour Day
Walk us through a regular day in your dog's life from when they wake up to when they sleep. Even brief notes help.
6–8 am
8–10 am
10 am–12 pm
12–2 pm
2–5 pm
5–8 pm
8 pm–sleep
Overnight
🍗 Section 9
Diet & Feeding
Diet and feeding routines can influence behaviour. Certain foods and feeding patterns are clinically relevant to behaviour assessment.
Please be specific — include brand names and type (e.g. dry kibble, wet food, raw, home-cooked).
👥 Section 10
Social Behaviour & Fears
How your dog responds to people, noises, and new situations reveals a lot about their emotional state and confidence.
Fear & Anxiety
When Left Alone
📋 Section 11
Behaviour Inventory
A quick scan of common behaviours — this helps our vet build a complete picture of your dog's personality and habits.
⚠️ Section 12
Aggression Assessment
This section is important and we want to make sure you feel comfortable completing it. There is no judgement here — all dogs are unique, and understanding aggression is the first step toward helping your dog.
⚠️
Important: Please do NOT test your dog to answer these questions. Answer based on what has already naturally occurred.
Bite History
Include what triggers it, what the dog does, and how it ends.
Trigger Assessment — With Owner
For each situation, select how your dog reacts when you do it. Select all that apply per row.
| Situation | Bark | Growl | Snap/Bite | No Reaction | N/A — Never done |
|---|
Trigger Assessment — With Strangers
Same situations — how does your dog react when a stranger or unfamiliar person does it?
| Situation | Bark | Growl | Snap/Bite | No Reaction | N/A — Never done |
|---|
Environmental Triggers
How does your dog respond in these general situations?
| Situation | Bark | Growl | Snap/Bite | No Reaction | N/A |
|---|
🎯 Section 13
Your Goals & Final Notes
You're nearly done — thank you for taking the time to complete this so thoroughly. Your last answers help us set realistic expectations and tailor our approach.
Your Commitment Level
📱
You're welcome to bring videos to the consultation on your phone or device — seeing the behaviour in context is extremely helpful for diagnosis.
Declaration
By submitting this questionnaire, I confirm that the information provided is accurate to the best of my knowledge. I understand that this form assists the veterinarian in preparation but does not replace the physical consultation. I consent to my information being stored securely and used for veterinary purposes.
Thank you — we can't wait to meet your dog!
Your behaviour questionnaire has been submitted successfully. Our team will review your responses before your consultation.
You'll receive a confirmation email shortly. If you need to make changes, please call us directly.
65 Georges River Road, Croydon Park NSW · Mon–Fri 8am–6pm