BHH Questionnaire (detailed history form)

This questionnaire provides background history on your dog before we start training (and before a behavior or training consult). This form is six pages. Please allow at least half an hour to complete. We gather a detailed history before we meet to make your dog’s consult as helpful as possible.

Once you complete this form, remember that if you have more than one dog, you will also need to provide a short history on your other dogs with the Multiple-Dog Household Form.

Make sure, after you hit “submit,” to check that the form was submitted. Sometimes there are blank fields or other “errors” that need to be corrected. Otherwise the form will not get to your trainer.

BHH Behavior Health Habits Questionnaire

Background history before a training or behavior consult. An asterisk (*) indicates a required field. Please answer the questions as fully as you can. The more information you provide, the better prepared your trainer will be and the more useful the consult. Use the "extra space" sections if you have more to say.

Step 1 of 6 - Owner & Household Information

Dog Information
Dog's Name*
Breed (or mix)*
Dog's date of birth (If unknown, give approximate age)*
Sex
Dog's size*
Date you acquired the dog*
How did you acquire the dog?*
Name of the breeder, rescue organization, or shelter (if known)

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Food and Health
How many times a day does the dog eat meals?*
What does your dog mainly eat?*
- Dry food (kibble)
- Wet (canned) food
- Homemade or raw food
- Other (give details in "more information")
Brand of food
Does your dog eat all their food when you put down the bowl?*
Does the dog get treats? What type and how often?*
Does your dog have food allergies or sensitivities?*
If yes, list foods to avoid:
Is your dog on any medications?*
Give name of medication(s) and condition they're prescribed for
Does your dog have any medical or health problems?*
If yes, describe health problem
Does the dog ever cry or whine, limp, or refuse a walk for no obvious reason?*
If yes, describe when that occurs
Does the dog often lick or chew paws or groin, rub face against things, or get ear infections?*
Name of your veterinary clinic*
Do I have your permission to contact them?*
If your dog sees a specific vet at this practice, please give their name
Approximate date of your dog’s last vet visit*
Extra space -- more information on Food/Health. (Use this space if you wish to elaborate on any questions above)