Canine Personality Profile BROOK-FALLS LUXURY PET RESORTA Canine Personality Profile must be completed for each dog prior to his/her scheduled Enrichment Evaluation. Complete responses assist us in the evaluation process. There are no right or wrong answers as all dogs are unique. Owner InformationName First Last Email PhoneDog’s InformationDog's Name First BreedDate of Birth Date Format: MM slash DD slash YYYY Weight (lbs.)SexFemaleSpayedMaleNeuteredHow long have you owned your dog?How did you obtain your dog?Animal ShelterBreederFriendFound as StrayNewspaper/Online AdPet StoreRescue OrganizationOtherRescue Organization: Which one?If Other, please explainWhat Knowledge do you have of your dog’s history prior to your ownership?General Household InformationNumber of Adult Males in Household:Number of Adult Females in Household:Number of Male Children in Household:Number of Female Children in Household:Ages of Male Children:Ages of Female Children:Describe how your dog interacts with all humans in the household:Other Pets in HouseholdList Species / Breed / Age / Sex (Female-Spayed-Male-Neutered) Describe how your dog interacts with other household pets:HealthDate of Last Exam: Date Format: MM slash DD slash YYYY Reason for exam:Annual VisitLamenessHeartworm Prevention:Date Last Given: Date Format: MM slash DD slash YYYY Flea/ Tick Prevention:Date Last Given: Date Format: MM slash DD slash YYYY Flea/Tick Prevention used for other household pets:Describe any known allergies:Describe any known physical disabilities/ limits:What restrictions of activity/movement does your dog require? No Restrictions No Running No Jumping No Agility Equiptment No Hard Play No Physical Contact with other dogs Other, Please explain If Other, please explainGroomingFrequency of grooming:Grooming is performed by:OwnerProfessional GroomerOtherIf Other, please explainDescribe how your dog reacts to grooming and nail trims: If reaction is negative, what techniques have you tried to make the experience more enjoyable?Describe any sensitive areas on his/her body:List favorite petting spots:ExerciseIndicate the overall activity level of exercise that best describes your pet’s exercise routine:Light- Spends most of his/her time sleeping; occasional walks and/or playtime with humans or other pets.Mild Activity- Regular daily short walks and/ or playtime with humans or other pets.Moderate Activity- Long or multiple walks daily and or playtime with humans or other pets.High Activity- Regular jogs or runs; and/or participation in a canine sport such as agility, frisbee, etc.Frequency of walks taken:Length of walks:Type of Collar used while walking your dog:Traditional buckle/snap collarNylon/ chain sliding ring collarHarnessHead collar such as a Gentle LeaderProng/ Pinch collarOtherIs this collar effective in keeping your dog under control?Activities/Toys your dog enjoys:Does your dog’s current exercise program meet his/her activity level requirements?Training and SocializationDescribe any professional training classes your dog has attended: Were the classes completed and how well did they do?Has your dog obtained an AKC S.T.A.R. or Canine Good Citizen certification?Known Commands: Come Down Heel Leave it Off Sit Stay Wait Other If Other, what command?Known Tricks:Indicate the overall level of interaction that best describes your pet’s socialization:None- No knowledge of interaction with other pets and/or humans outside of householdMinimal- On lead encounters onlyModerate- Occasional off-lead playtime with humans and/or pets outside the householdExtensive- Regular off-lead playtime with humans or other pets such as visits to dog parks, daycare, etc.Describe any interaction your dog has had with other dogs outside of your household:Were the other dogs: Males Females Both males and females Older Younger Both older and younger Describe your dog’s reaction when meeting another dog for the first time while on leash:Describe your dog’s reaction when meeting another dog for the first time while off leash:Describe any aggression your dog has shown toward other dogs and your reaction to the incident:Check any responses you have witnessed your dog display as a reaction to meeting another dog: Barking in a high, whining pitch Bowing down Hackles (hair on back of neck) raised Snapping or biting Wagging tail Barking in a low, warning tone Growling or showing teeth Mounting or standing over a dog Tail stiff or above the back (wagging or not) Other: If Other, what responses have you witnessed?Describe your dog’s reaction to another dog approaching his/her food or toys:Describe your dog’s reaction when meeting a person for the first time while on leash:Describe your dog’s reaction when meeting a person for the first time while off leash:How does your dog greet a visitor/guest entering your home or yard?Greets them enthusiastically or jumps up excitedlyApproaches the person cautiously, sniffing and inspecting themBarks or growls at the personMoves to the opposite side of the room and avoids the personOtherIf Other, What greeting?Describe your dog’s reaction to a stranger entering your home or yard?Has your dog ever growled, snapped or bit an adult or child? If yes, explain in detail the circumstances and your response to the incident:Check any of the following traits your dogs has acted negatively to: Children Facial Hair Hats Uniforms Men Women Wheel chairs or Walkers Other IfOther, What trait?Behavior and EnvironmentTo best determine the appropriate play group for your dog, please select three options that best describes your dog’s personality Boss Bully Calm Clean Dominant Dull Easy Going Excitable Hyper Intelligent Messy Nervous Neurotic Obsessive Opinionated Playful Polite Quiet Relaxed Rude Submissive Talkative Other Select three optionsDescribe how your dog’s personality differs when at home versus a public setting:Is your dog frightened or nervous of any loud noises or thunderstorms? If yes, what helps your dog cope with the anxiety:Check any of the following areas your dog has problems and describe: Barking Digging House training Ignoring Commands Jumping up Mouthing Pulling on the leash Other If Other, what problem?Describe what makes your dog frightened, nervous or uncontrollable:Describe any behavioral issues such as anxiety, aggression, spinning, separation anxiety, etc.; and what actions/medications have been tried to treat the issue:List any medications your dog takes that may affect is mood or behavior:Where is your dog primarily kept?IndoorsOutdoorsIn and OutdoorsKennel / CrateOtherIf Other, where is your dog kept?Is your dog kennel/ crate trained?YesNoIs your dog allowed on the furniture at home?YesNoIs your dog allowed in the bedroom/bed?YesNoHas your dog ever climbed or jumped a fence? If yes, what were the circumstances that led to the occurrence?Where does your dog sleep? Check all that apply Indoors Outdoors In and Outdoors Kennel/Crate Garage Living Room Dining Room Kitchen Spare Bedroom Master Bedroom Other family members Bedroom On the floor In a Dog Bed On the furniture In family members bed Other If Other, where does your dog sleep?To the best of your knowledge, what does your dog do when you are not home?How does your dog react when you come home at the end of the day?What does your dog do to show you he/she is happy?Please use the space to provide comments or information about your dog that you feel may be helpful or important: Back to Interview Request
