Behavior Consult Questionnaire

Please answer the following questions so we can better help you:

We are experiencing some minor issues with our online questionnaire. If you have submitted the form and have not heard from someone within 48 hours please email training@sfhumanesociety.org, thank you for your help!

Behavior Consult Questionnaire
Please answer these questions so we can better help you:
*مطلوب
عنوان البريد الإلكتروني *
بريدك الإلكتروني
Cat or dog? *
Pet's name *
إجابتك
Breed (if known)
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Age *
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Owner first name *
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Owner last name *
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Phone number *
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Please describe the problem you are having with your pet. When/where does it happen most often? *
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When did the problem first start? How frequently are you having the problem now? *
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What made you decide to seek help for this problem now? Did the problem change or get worse recently? *
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What have you already tried doing to fix the problem? What was the impact, if any? *
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Can you tell me a bit about your animal’s history? How long have you had him or her?
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When was the last time your pet saw a veterinarian? Did you discuss this issue with him or her and what was the recommendation? Does he or she currently have any medical issues or is on any medication? *
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What is your household like? How many members are there (human and animal)? What is your pet’s daily life like? *
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Has your pet ever injured a person or animal? *
If yes, please explain.
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What kind(s) of behavior help are you seeking? *(Note: The type of problem you are having may determine which type of help is most appropriate for your situation. Additionally, fees for services may apply) *
مطلوب
If you selected "Private In-Home Consultation" in the above question, what is the address or location where you would like to have the trainer meet you?
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Is there anything else you think we (the trainers) should know about your pet or the situation?
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