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Dog Walking Questionnaire
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Your Name
*
First
Last
Your Phone Number
*
Your Email Address
*
1. What group did you self assess your dog?
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Group One: Easygoing & Relaxed
Group Two: Adaptable & Social
Group Three: Tense & Uncertain
Group Four: Complex & Rigid
2. How reliable is your dog's recall when called? Does it vary depending on the environment, such as the backyard, dog park, or while on a leash? Please rate the recall on a scale from 1 to 10, with 10 being 98% recall and 0 being no recall at all.
Selected Value:
0
3. Do you walk him/her off leash?
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Yes, regularly
Sometimes, in safe areas
No, never
Other
4. Does your dog chase wildlife? (birds, deer, bears, etc.)
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Always chases wildlife
Sometimes chases wildlife
Rarely chases wildlife
Never chases wildlife
Other
5. Does your dog tend to take off if they get distracted by a scent?
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Yes, my dog often takes off when distracted by a scent.
Sometimes, my dog may take off if distracted by a scent.
No, my dog generally stays put even if distracted by a scent.
Not sure, I haven’t noticed my dog taking off due to scents.
Other
6. Where in Vernon (or area) are you located?
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East Hill
South Vernon
Middleton Mountain
Coldstream
South BX
Other
7. Has your dog been on an adventure hike with someone else before?
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Yes, my dog has been on an adventure hike with someone else
No, my dog has not been on an adventure hike with someone else
8. Does your dog have any medical conditions and/or special needs?
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9. How does your dog do in the vehicle? With or without other dogs?
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person, they injury
10. How does your dog respond to gunshots?
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11. How would you describe your dog?
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12. Does your dog chase vehicles or other automotives? (Dirt-bikes, quads, side-by-sides etc.)
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Yes, my dog chases vehicles or automotives such as dirt-bikes, quads, side-by-sides, etc.
No, my dog does not chase vehicles or automotives.
My dog occasionally chases vehicles or automotives, depending on the situation.
Other
13. Does your dog have any food sensitivities/intolerances?
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14. How does your dog react to seeing other dogs on/off leash?
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15. Any bite history? Humans or dogs.
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16. How are they at the vet? Have to be muzzled? Have they needed first aid treatment?
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17. How are your dog(s) at the groomers?
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18. Does your dog steal objects like toys, sticks, bones, etc. from other dogs?
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Yes, frequently
Sometimes
Rarely
Never
Other
19. Does your dog persist in playing with other dogs when it’s not reciprocated?
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Yes, my dog continues to try to play regardless of the response.
No, my dog stops trying to engage when play is not reciprocated.
Sometimes, my dog’s response varies depending on the situation.
My dog gets discouraged and avoids other dogs after being ignored.
Other
20. Does your dog mount other dogs?
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Yes, frequently
Sometimes, occasionally
Rarely, but it happens
No, never
Other
21. Does your dog struggle with any anxiety that you’re aware of?
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Yes, my dog shows signs of anxiety
No, my dog does not show signs of anxiety
I’m not sure if my dog experiences anxiety
Other
22. What days are you looking for hikes?
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Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
23. Is your dog neutered/spayed?
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Yes, my dog is neutered/spayed
No, my dog is not neutered/spayed
24. Is your dog afraid of thunder?
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Yes, my dog is afraid of thunder
No, my dog is not afraid of thunder
Other
25. Has your dog ever suffered an injury requiring medical treatment? (such as being hit by an automobile, injured by another animal, etc.)
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26. Has your dog ever caused serious property damage?
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27. Has your dog ever bitten or otherwise injured a person, another dog, or another animal? Are there any other needs or concerns we should be aware of?
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28. How long have you been the guardian of your dog?
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Less than 6 months
6 months to 1 year
1 to 2 years
2 to 3 years
3 to 5 years
More than 5 years
29. Please list any particular fears your dog has:
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