K9 Insight

Thank you for taking the time to complete this form. We know your time is valuable, so we’ve kept it as brief as possible while gathering the essential details about your dog's behavioural issues. Your answers help us tailor the best possible support for you and your pet. Once we’ve reviewed your submission, we will be in touch.

Name*

Email*

Address

Phone

Pet Name

Breed

Sex

Birthday

How old is your dog

How much does your dog weigh

Is your dog neutered/spayed/chemically castrated?

No/yes

If you have answered yes to the above, at what age was the procedure/surgery carried out.

What is the name and location of your current Veterinary Practice

Details of any currently medications or treatments

Details of any allergies

Details of any past injuries or surgeries

What age was the dog when you became its owner? If you were not the dogs first owner (apart from breeder) please give brief history if known.

Does your dog have any of the following Behavioral issues?AggressionAnxiety/FearExcessive BarkingDestructive BehaviorReactivity towards other dogs or peopleResource Guarding (balls or food etc)No, I am seeing no signs of any of the above behavioursOther

If you have answered yes to any of the above, please give details

When did you first notice the problem, how often does it occur and have you noted any specific triggers?

Has your dog ever bitten a person or another animal? If so, please give details.

Does your dog suffer from reactivity issues to dogs or people? If so, please provide details.

Where does your dog liveIndoorsOutdoorsBoth

Does your dog interact with other animals and if so, please describe

Is there anything else you would like to share with us that hasn't been covered on the form?

I have read and agree to the terms above

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