Personality/Problem Behavior Checklist

Name

Dog's Name

Jumping

Nipping/Mouthing

Leash Walking

Chewing

Inappropriate Barking

Stealing Food/Counter Surfing

Resource Guarding (Toys, Food Etc.)

Housetraining

Sound/Thunder Phobias

Separation Anxiety

Unruly Behavior

Dog on Dog Reactivity/Aggression

Dog on Human Reactivity/Aggression

Other (Please explain problem)

Arouses Easily Arouses Easily Please Grade from -4 to +4 with 0 being Well Balanced -4 -3 -2 -1 0 +1 +2 +3 +4

Comments

Calms Down Easily Calms Down Easily Please Grade from -4 to +4 with 0 being Well Balanced -4 -3 -2 -1 0 +1 +2 +3 +4

Comments

Socializes With People/Animals Easily Socializes With People/Animals Easily Please Grade from -4 to +4 with 0 being Well Balanced -4 -3 -2 -1 0 +1 +2 +3 +4

Comments

Sense Sensitivity (Visual, Tactile, Auditory, Olfactory) Sense Sensitivity (Visual, Tactile, Auditory, Olfactory) Please Grade from -4 to +4 with 0 being Well Balanced -4 -3 -2 -1 0 +1 +2 +3 +4

Comments

Persists in Behavior (Visual, Tactile, Auditory, Olfactory) Persists in Behavior (Visual, Tactile, Auditory, Olfactory) Please Grade from -4 to +4 with 0 being Well Balanced -4 -3 -2 -1 0 +1 +2 +3 +4

Comments

Focus/Follow Commands (Strangers/ Familiar People/ Owner) Focus/Follow Commands (Strangers/ Familiar People/ Owner) Please Grade from -4 to +4 with 0 being Well Balanced -4 -3 -2 -1 0 +1 +2 +3 +4

Comments