Reactive Rover Workshop Questionnaire


Reactive Rover Workshop Questionnaire
Please complete and submit this form prior to the workshop.
Client Name:*
Today's Date*
Dog's Name*
Dog's Breed:*
Dog's Age*
Dog's Sex*
Would you consider your dog’s reactivity to be:*
What are the primary triggers of your dog’s reactivity? Be as specific as possible.*
What is his threshold distance with a neutral dog in a calm environment? *
How old was your dog when you first noticed this behavior? *
What have you done to try to modify the behavior?*
Since you first noticed it, has the behavior:*
Has your dog ever caused injury to another dog? *
If Yes, what were the circumstances, and how severe were the injuries?*
Has your dog ever caused injury to a human? *
If Yes, describe the circumstances, and how severe were the injuries?*
What are your goals for this camp?*
What are your long term goals?*