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Dog Information

Owner Information

Brief History

Precipitating Event/Problem - List and Describe.

Antecedent - what happens immediately preceding the behaviour (what is the trigger for the behaviour)?

Behaviour - Objectively describe behaviour.

Consequence - What happens immediately following the behaviour (dog, human and/or environmental response)?

Onset of behaviour (age of dog)

Frequency of behaviour

Has there been a change in frequency (increase, decrease, same)

Has there been a change in severity (increase, decrease, same)

Agression Only

Is there warning given before the aggressive behaviour?

Is there a reliable trigger for the aggressive behaviour?

Has the dog ever bitten a person or another dog? If yes, whom did the dog bite and did the bite break the skin?

Other Details

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