Dog Behavior Helpline Form

Please complete the questionnaire below with as much detail as possible. We receive a high-volume of requests for behavior assistance, and completing this form helps enable us to provide you with personalized help more accurately. In the meantime, we encourage you to view our Pet Behavior Resource Library which contains reading materials on a number of behavior topics.

Behavior Helpline Dog Behavior Questionnaire

Pet Guardian's Name (first and last):(Required)
Phone:(Required)
Email:(Required)
Address(Required)
City State / Province / Region ZIP / Postal Code
Dog's Name (Current and previous if adopted from the Richmond SPCA):
Where Aquired:
Length of Time in the Home:
Dog's Approximate Age:
Dog's Approximate Breed:
Spayed, Neutered, or Intact:
Fenced Yard or Leash Walks Only:
Behavior History:(Required)
Provide a thorough description of your dog’s behaviors, good and bad, ideally in chronological order with approximate dates of when they occured.
Medical History:
Include your dog’s past illnesses or injuries, any OTC or prescription medications your dog takes and why, your current veterinarian, and if your dog is up to date or behind on check ups and vaccinations.
Previous Training Experience:
Include what you have done to help adjust your dog’s behaviors.
Dog's Exercise Schedule & Type:
Dog's Sleep Schedule:
Dog's Feeding Schedule:

Include when fed, how, and brand of food.
Description of Your Household:
Include ages of family members, energy level of the home and neighborhood, and other pet’s in the home.
Your dog's favorite toys, activities, and treats:
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Phone
This field is for validation purposes and should be left unchanged.

Dog Behavior Helpline Form

Behavior Helpline Dog Behavior Questionnaire

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