Aggression Questionnaire Aggression Questionnaire Name * Name First First Last Last Email * Phone * Dog's Name * Handling: How does your dog respond to the following? Nail Trimming * Not Tried Enjoys Accepts Willingly Accepts Reluctantly Resists Threats/Aggressive CommentsComments Ear/Eye Cleaning * Not Tried Enjoys Accepts Willingly Accepts Reluctantly Resists Threats/Aggressive CommentsComments Brushing * Not Tried Enjoys Accepts Willingly Accepts Reluctantly Resists Threats/Aggressive CommentsComments Bathing * Not Tried Enjoys Accepts Willingly Accepts Reluctantly Resists Threats/Aggressive CommentsComments Brushing Teeth * Not Tried Enjoys Accepts Willingly Accepts Reluctantly Resists Threats/Aggressive CommentsComments Rub Belly * Not Tried Enjoys Accepts Willingly Accepts Reluctantly Resists Threats/Aggressive CommentsComments Pat Head * Not Tried Enjoys Accepts Willingly Accepts Reluctantly Resists Threats/Aggressive CommentsComments Hug/Kiss * Not Tried Enjoys Accepts Willingly Accepts Reluctantly Resists Threats/Aggressive CommentsComments Lifting * Not Tried Enjoys Accepts Willingly Accepts Reluctantly Resists Threats/Aggressive CommentsComments Grab Collar * Not Tried Enjoys Accepts Willingly Accepts Reluctantly Resists Threats/Aggressive CommentsComments Give Medication * Not Tried Enjoys Accepts Willingly Accepts Reluctantly Resists Threats/Aggressive CommentsComments Removing Food, Treat or Toy * Not Tried Enjoys Accepts Willingly Accepts Reluctantly Resists Threats/Aggressive CommentsComments Reactivity: Indicate how your dog reacts to each of the following: Familiar Dogs * Calm Friendly Excited Ambivalent Confused Fearful Aggressive CommentsComments Unfamiliar Dogs * Calm Friendly Excited Ambivalent Confused Fearful Aggressive CommentsComments Squirrels, prey * Calm Friendly Excited Ambivalent Confused Fearful Aggressive CommentsComments Cats * Calm Friendly Excited Ambivalent Confused Fearful Aggressive CommentsComments Children * Calm Friendly Excited Ambivalent Confused Fearful Aggressive CommentsComments Familiar People * Calm Friendly Excited Ambivalent Confused Fearful Aggressive CommentsComments Visitors at the Door * Calm Friendly Excited Ambivalent Confused Fearful Aggressive CommentsComments Strangers off the Property * Calm Friendly Excited Ambivalent Confused Fearful Aggressive CommentsComments Strangers on the Property * Calm Friendly Excited Ambivalent Confused Fearful Aggressive CommentsComments Cars/Trucks/Planes * Calm Friendly Excited Ambivalent Confused Fearful Aggressive CommentsComments Bikes/Skateboards * Calm Friendly Excited Ambivalent Confused Fearful Aggressive CommentsComments Fear of Storms? * Yes No If Yes, describe dog's reactionIf Yes, describe dog's reaction Car Ride Anxiety? * Yes No If Yes, describe dog's reactionIf Yes, describe dog's reaction Fear of Locations/Situations? * Yes No If Yes, describe dog's reactionIf Yes, describe dog's reaction Other anxiety/timidity/fear (non-aggressive): e.g. ears back, cowers, tail tucked, shakes, retreats, hides, etc. How long after exposure to these events does your dog settle down? Has your dog ever displayed any of the following? Threat Displays Growling Bite Attempts Bites Describe Aggression Threat/No Bite Snap/No Contact Bite--Release Bite--No Release or Multiple Bites What is your pet's response when a FAMILIAR person does any of the following? (check all that apply) Stares at dog None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Reaches For/Bends Over Dog None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Petting Dog None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Hugging/Kissing None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Lifting Dog None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Pins/Rolls Over None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Putting On/Taking Off Leash/Collar None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Gives Verbal Cue in a Normal Tone None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Using Verbal Discipline (e.g. Stop/No) None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Grabs Collar None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Physical Correction (Hit, Leash Correction, etc.) None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? In Response to Movement/Noise/Yells None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Interrupts Threat or Bit to Person/Dog None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Approach/Hug/Touch Family Member None Grow/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? How does your dog react when an unfamiliar person does any of the following? (check all that apply) Stranger Approaches None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Stranger Stares at Dog None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Stranger Reaches/Bends Over Dog None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Stranger Pets Dog None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Stranger Coming Into Home/On Property None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Stranger Puts On or Takes Off Collar None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Stranger Speaks in Normal Tone None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Stranger Verbal Discipline--Says No None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Stranger Movement, Activity, Noise None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Strange Leaving Yard/Room/Home None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? Approaches/Hugs/Touches Family Member None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the target?Who is the target? How does your dog handle the following circumstances? Approach Dog When with a Family Member None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the Target?Who is the Target? Approach Dog On Its Mat, Bed, Rest Spot None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the Target?Who is the Target? Approach When Resting On Furniture None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the Target?Who is the Target? Familiar Dogs None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the Target?Who is the Target? Other Pets In Home None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the Target?Who is the Target? Familiar Dogs Off Property None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the Target?Who is the Target? Unfamiliar Dogs None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the Target?Who is the Target? Animals in General None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the Target?Who is the Target? Approach While Eating Food/Chews/Treats None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the Target?Who is the Target? Approach Dog When Playing With Toys None Growl/Threat Snap/No Contact Bite Multiple Bites Who is the Target?Who is the Target? List Your Dog's Primary Targets (People/Animals) for Aggression How Many Times Has Your Dog Bitten? * How Would You Describe the Problem? * Getting Worse Staying the Same Getting Better When Your Dog Threatens or Attempts to Bite, How Do You Handle the Situation, and What is Your Dog's Reaction? After Your Dog Has Bitten, How Do You Handle the Situation, and What is Your Dog's Reaction? How Would You Describe Your Dog's Attitude When Aggressive? Bold Protective Possessive Outgoing Fearful Confused Chase OtherOther Describe Your Dog's Postures and Expressions When Aggressive * Does Your Dog Seem "Guilty" or "Sorry" After Aggression? Yes No If yes, describeIf yes, describe Are There Children or People with Physical/Mental Disabilities in Your Home at Risk Due to Aggression? Yes No If yes, describeIf yes, describe Check if Your Dog Exhibits Any of the Following Behavior. If Undesirable, Please Comment. Vocalize/Bark/Whine/Howl None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Jumps Up on Owner or Stranger None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Pulls On Leash None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Won't Come When Called None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Nips/Grabs with Mouth None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Pushy/Demanding None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Only Listens Occasionally None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments In Rooms/On Furniture Not Allowed None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Follows/Clingy None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Stool Eating None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Chases None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Hunting/Predation None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Garbage Raiding None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Food Stealing None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Destructive Chewing None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Night Waking None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Digging None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Eats Non-Food Items None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Tail Chasing/Spinning None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Licks Objects None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Staring None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Excessive Grooming None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Fly Chasing None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Star Gazing None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments Light Chasing None Occurs, but no concern Occurs, would like to improve Reason for visit CommentsComments If you are human, leave this field blank. Submit