Shel-Ray Pet Shalet 
Canine Questionnaire
Date:
  
Name
Email Address:
Pet's Name:
DOB:
Breed:
Color:
Neutered/Spayed?:
 Yes No
If no, why?
Describe birthplace of pet:
Did you view any relatives of dog? If so, describe:
How old was your pet when you first saw him/her?:
How old was your pet when he/she first came into your home?:
Why did you get your dog?: (click all that apply)
Companion Gift from someone For Child
To Breed To Show Replace Another Pet
If gift, from whom?:
Other:
Favorite things for pet:
Tug of War Chase Walks Petting
Fetch Wrestle Car Rides Eating
Likes which type of people best: Men Women
Likes which type of people least: Men Women
Comments:
Likes which type of dog:
Male Large Furry
Female Small Short hair
Comments:
Would you consider your dog aggressive with people?: Yes No
Explain:
Would you consider your dog aggressive with dogs?: Yes No
Explain:
Favorite Toys: Favorite Treats:
Where are toys kept?:
Toy Box Hidden and out of reach
Around house Only outside in yard
What disturbs your dog, be specific:
ex: Thunder, Loud Noises, Firecrackers, Trucks, etc.
Any history of Seizure?: Yes No When was the first one?:
When was the last one?: Medicine for Seizures:
Other Medication and Why?:
Is your dog destructive? Yes No
Explain:
Does your dog bark excessively? Yes No
If yes, what sets him/her off? What stops it?:
Where does your pet spend most of its time? Inside? Outside? Where? What %:
Where does your dog sleep?:
Bedroom Sofa Bed Living Room Floor
Kitchen Garage Outside Other

Where does your dog have its food & water?:
What are the members of your family that live with your dog?:
List names, sex, age and occupation
What are the other pets in the family? Describe type and relationship to dog:
Would you consider your dog house-trained?: Yes No
If yes, describe how you did it?:
Is your pet crate trained: Yes No
How does he/she like the crate?:
Likes Tries to get out Destroys
Hates Panics Barks
Grooming:
Can you brush your dog?: Yes No
Can you cut nails ?: Yes No
Can you clean ears ?: Yes No
Can you bathe your dog? Yes No
Does only a professional groomer bathe and/or clip your dog? Yes No
What does your dog eat? Brand of dog food?:
How much and when?:
Why did you choose this food?:
What other brands did you try?:
Is water always available?: Yes No
What else does your dog eat?:
 Describe any people food or treats or other items.
Any known allergies?: Yes No
How do you know it's an allergy?:
Have you owned other dogs?: Yes No
If yes, describe in detail what they were, how long you had them and what happened to end the relationship:
Have you trained a dog before? Yes No
What method? How instructed?:
Do you have a fenced yard or kennel area? Yes No
List in order of importance the things you would like to change about your dog:
1.
2.
3.
4.
5.
List in order of importance the things you appreciate about your dog:
1.
2.
3.
4.
5.
If your dog is destructive, what does he/she destroy?
Personal items describe ex. socks, shoes, underwear, other clothing
Other items such as: furniture, floors, doors, other:
How have you corrected misbehavior?
Hitting Time out Alpha Roll Prong Collar
Newspaper Stare Down Collar & Lead Verbal
Throwing Something Shake Shock Collar  

Describe in detail:
How have you rewarded good behavior?
Treats Petting
Verbal Games
How much time do you spend with your pet awake in a 24 hour period?:
What makes your pet happy?:
What words or phrases makes your dog wag his/her tail?:
What words or phrases makes your dog unhappy? (head down, sad, retreat)
What do you say to stop bad behavior?:
What tone of voice?:
What kind of collar(s) does your dog wear?
What words, actions or phrases do you use to attempt the following?:
SIT:
LIE DOWN:
COME WHEN CALLED:
WALK ON LOOSE LEAD:
STOP JUMPING UP:
Where does your pet like to be touched and why?:
Where does your pet NOT like to be touched and why?:
List your pets favorite people:

List your pets favorite places:
List your pets favorite toys:
List your pets favorite foods:
Are you going to show your dog?: Yes No
If yes, explain:


This part of the questionnaire is for the owner, the pet, and the trainer. The owner's comments help the trainer understand what the owners expect from their dog and what kind of relationship the owner and the dog have at home. The trainer can then use this in the course of training to explain to the owner what a realistic goal is and what they can do to reach it. It makes it easier to explain some misinterpretation on natural behavior from a dog.
Tell us what you like most about your dog, both physically and personality wise:
Tell us what you do not like about your dog:
What are your expectations from your dog, as a dog?:
If you have any additional comments that you think might apply, please continue:

Signed:
Date: