Please fill out the form below at least two full days prior to our first
session. The information in this form will help me come to our first session
well prepared to use our time most effectively.
The form starts with general background and progresses to details about your
behavior concerns. Please take time to answer every question in
as much detail as possible. If a question really does not apply,
you can respond “NA”, but please try not to leave answers blank.
If you selected anything other than Level 0 above, please complete the
following questions to describe in detail the most severe display
of human-directed aggression by this dog:
If you selected anything other than Level 0 above, please complete the following questions to
describe in detail the most severe display of dog-directed aggression by this dog:
Please feel free to submit any of the following supplemental materials via email to
double check all of your answers for clarity and completeness, then submit
this form with the button below.