Client Questionnaire

Please complete the section most relevant to your puppy or dog. This questionnaire helps build a clearer picture before professional support is arranged.

Client Details

Full name

Phone number

Email address

Town / city / county

Puppy’s or dog’s name

Breed or breed mix

Age

Sex

Neutered / spayed

Microchipped

Dog licence

Vaccinated

Has your puppy or dog got any health issues, physical or psychological?

Is your dog on any prescription medicine, anti-anxiety tablets, pain medication, or any other treatment?

Choose The Relevant Questionnaire

Puppy & Adolescent Dog Questionnaire

For puppies and adolescent dogs where early development, household structure, training foundations, behaviour, walking, feeding, play, confidence and owner guidance are relevant.

Age when brought home

Where did the puppy or adolescent dog come from?

How many meals per day?

Dry kibble, wet food, raw, mixed, or other?

Does your puppy or adolescent dog respond to treats?

Does your puppy or adolescent dog like toys, balls or ropes?

How many walks or outdoor sessions per day?

Harness, collar, lead, long line, or other?

Tick what applies

Biting and nipping Jumping up Toilet training problems Crate training difficulty Unable to settle Overexcitement Pulling on the lead Reactive to dogs or people Barking at visitors Fearful or nervous behaviour Chewing or destructive behaviour Separation difficulty

Briefly describe the main puppy or adolescent dog problem

Adult Dog Training Questionnaire

For adult dogs where training, manners, lead walking, recall, household structure, visitor behaviour, daily routine, engagement and owner control are the main concerns.

How long have you owned your dog?

Has your dog attended puppy classes, dog training, or worked with a behaviourist before?

Where does your dog spend most of the day?

Where does your dog sleep at night?

Is your dog allowed on the couch, armchair, beds, or looking out windows?

Do you use a dog crate?

How many meals per day?

Dry kibble, wet food, raw, mixed, or other?

Does your dog get scraps from the table?

Is your dog fussy, always hungry, or not interested in food?

Does your dog like toys, balls, ropes, chasing or play?

Harness, collar, lead, long line, or other?

Tick what applies

Pulling on the lead Poor recall Jumping on people Poor manners in the home Poor visitor behaviour Overexcitement Barking Poor boundaries No calm state Difficult to handle outside

Briefly describe the main adult dog training problem

Dog Behaviour Problem Questionnaire

For behaviour problems involving reactivity, aggression, fear, guarding, barking, chasing, biting, nervousness, separation problems, visitor problems or serious loss of control.

When did the behaviour first start?

Has the behaviour become worse, better, or stayed the same?

Has your dog bitten anyone?

Has your dog been in a dog fight?

How does your dog react to other dogs?

How does your dog react to people?

How does your dog react to visitors coming into the home?

How does your dog react around cats, birds, livestock or other animals?

Does your dog spend time outside during the day?

Does your dog bark at passers-by, cyclists, people walking dogs, cars, trailers or activity outside?

How many walks or activity sessions per day?

Harness, collar, lead, long line, muzzle, or other?

Tick what applies

Reactivity Aggression Biting or snapping Growling Resource guarding Territorial behaviour Barking at visitors Backing away or hiding Hard to settle Separation anxiety Chasing cars or trailers Chasing livestock or animals

Briefly describe the main dog behaviour problem

Senior Dog Questionnaire

For senior dogs where age-related behaviour, comfort, household changes, routine, physical health, emotional changes, senior dog dementia signs or management support may be relevant.

Age of senior dog

How long have you owned your senior dog?

Has your senior dog had any recent veterinary checks?

Any known pain, mobility issues, hearing issues, eyesight issues, arthritis, weight issues or medical conditions?

Where does your senior dog rest during the day?

Where does your senior dog sleep at night?

How many meals per day?

Is your senior dog fussy, always hungry, gaining weight, losing weight, or not interested in food?

Tick what applies

Sudden behaviour changes Change of habits Sleeping more Pacing Increased barking Nervousness Reactivity Growling more Confusion Signs of senior dog dementia Overweight issues Difficulty settling

Briefly describe the senior dog concerns

Rescue Dog Questionnaire

For rescue dogs where known history, unknown history, settling into the home, fear, reactivity, guarding, confidence, previous experiences and structured integration are relevant.

Where did your rescue dog come from?

Name of rescue, charity, breeder, previous owner, or member of the public if known

How long has the dog been in your home?

Known history or unknown history?

Has the dog lived with children, dogs, cats, livestock, or other animals before?

Where does your rescue dog spend most of the day?

Where does your rescue dog sleep at night?

How does your rescue dog react to visitors?

How does your rescue dog react outside the home?

Harness, collar, lead, long line, muzzle, or other?

Tick what applies

Fearful or nervous Shuts down Barks at visitors Hides behind furniture or under tables Reactive to dogs Reactive to people Resource guarding Separation difficulty Household settling problems Handling difficulty Unknown triggers Previous trauma suspected

Briefly describe the rescue dog concerns

Additional Information

Please add any additional information or a brief description of problems not listed in the questionnaire

All personal details are treated as strictly confidential and are used only for responding to your enquiry and assessing the support required.

example questionnaire

Client Questionnaire

Client Details

Choose The Relevant Questionnaire

Puppy & Adolescent Dog Questionnaire

Adult Dog Training Questionnaire

Dog Behaviour Problem Questionnaire

Senior Dog Questionnaire

Rescue Dog Questionnaire

Additional Information

Quick Links

Privacy Policy

Copyright © 2017- 2026 Clare Dog Training Ireland All Rights Reserved.

Terms & Conditions