Pet Behavior Screen Form

DOG OWNERS please complete the following rating system to rate your dog’s reaction to each of the given scenarios. Your answers on this form are confidential and are not meant to eliminate you or your dog from visits. This form will be forwarded to and retained by Furry Friends Animal Behaviorist. The purpose of administering this screen is to gauge your dog’s overall reactivity and help the Furry Friends Animal Behaviorist access what might be a future problem area that can be worked on together. ONLY DOG OWNERS NEED TO COMPLETE THIS SCREEN. There are no screens for other animal types. You must answer all information below. Please choose 1 rating for each scenario described.