test wd Reactive Rover Workshop Questionnaire Please complete and submit this form prior to the workshop. Client Name:*FirstLast Today's Date* Dog's Name* Dog's Breed:* Dog's Age* Dog's Sex*Select valueMaleFemale Would you consider your dog’s reactivity to be:*Select valueMildModerateSevereExtreme 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:*Select valueDecreasedIncreasedStayed the Same Has your dog ever caused injury to another dog? *Select valueYesNo If Yes, what were the circumstances, and how severe were the injuries?* Has your dog ever caused injury to a human? *Select valueYesNo If Yes, describe the circumstances, and how severe were the injuries?* What are your goals for this workshop?* What are your long term goals?*SubmitReset Recaptcha Word Verification: