BROOK-FALLS LUXURY PET RESORT

A 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 Information

Name

First Last

Email

Phone

Dog’s Information

Dog's Name

First

Breed

Date of Birth

Weight (lbs.)

Sex

How long have you owned your dog?

How did you obtain your dog?

Rescue Organization: Which one?

If Other, please explain

What Knowledge do you have of your dog’s history prior to your ownership?

General Household Information

Number 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 Household

List Species / Breed / Age / Sex (Female-Spayed-Male-Neutered)

Describe how your dog interacts with other household pets:

Health

Date of Last Exam:

Reason for exam:

Heartworm Prevention:

Date Last Given:

Flea/ Tick Prevention:

Date Last Given:

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?

If Other, please explain

Grooming

Frequency of grooming:

Grooming is performed by:

If Other, please explain

Describe 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:

Exercise

Indicate 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:

Is 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 Socialization

Describe 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:

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 household
Minimal- On lead encounters only
Moderate- Occasional off-lead playtime with humans and/or pets outside the household
Extensive- 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:

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:

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 excitedly
Approaches the person cautiously, sniffing and inspecting them
Barks or growls at the person
Moves to the opposite side of the room and avoids the person
Other

If 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:

IfOther, What trait?

Behavior and Environment

To best determine the appropriate play group for your dog, please select three options that best describes your dog’s personality

Select three options

Describe 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:

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?

If Other, where is your dog kept?

Is your dog kennel/ crate trained?

Is your dog allowed on the furniture at home?

Is your dog allowed in the bedroom/bed?

Has 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

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: