Please complete the form below as fully as possible and Susan will contact you within 48 hours. If you have not heard from her by then, please check your email spam folder or call her on 07921 957072. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. - Step 1 of 6BEHAVIOUR SUPPORT QUESTIONNAIRE Where detail is asked for in the questionnaire, please be as accurate as you can. At the end of the form you will be asked to check a box to confirm you have read and agree to abide by the Tail Talk Terms and Conditions and Service Agreement. If you have not yet read these, please use the following links for the 1:1 Terms & Conditions and the Service Agreement. ABOUT YOU AND YOUR DOG Name: *Date:Address: Do they about Postcode:Contact No.Email *Do you have any medical conditions we need to be aware of please?Please note, if you have any serious medical issues we may need you to sign a waiver.Dog's Name:Breed:Dog's Age:Sex:Male or FemaleMaleFemaleNeutered (Y/N) *Yes or NoYesNoAge When Neutered:How long have you had your dog?For example, 1 year and 2 monthsDetails of any dogs owned before:How many adults live in your household?Select number012345678910+How many children live in your household?Select number012345678910+Age(s) of Children:Do you own any other animals? (Please specify species and ages)What do you know about your dog's previous history?Where does your dog sleep?On average, how much quality rest (quiet, undisturbed rest) does your dog get every day?Where does your dog stay when you go on holidays?NextBEHAVIOUR SUPPORT QUESTIONNAIRE HEALTH Name and address of your vet:When did you last visit your vet?Was this for a vaccination/booster?--- Select Choice ---YesNoIf not for a vaccination, what was the purpose of your visit?Does your dog suffer from any of the following? Please select all that apply: *Ear infectionLamenessArthritisWeeping EyesStomach problemsOther - please specify belowSkin problemNot that I am awareOther:Has your dog had a blood test recently? *--- Select Choice ---YesNoWhen was this?Is your dog on any medication *--- Select Choice ---YesNoIf yes, please list medication and reason for taking:How long has your dog been on this?Do you give your dog any supplements?NextBEHAVIOUR SUPPORT QUESTIONNAIRE FOOD AND NUTRITION What type of food do you give to your dog? Please select ALL that apply.DryTinnedPouchesRawHome preparedOther - please specify belowOther:What is the brand name of the food you use?Not applicable if you prepare your own.How many times a day do you feed your dog?12345+What time(s) of the day do you feed your dog?What treats do you give your dog?Are there any foods that upset your dog's stomach?Is your dog protective over food?NextBEHAVIOUR SUPPORT QUESTIONNAIRE EXERCISE AND TRAINING What is your dog's daily routine?How many hours a day would he/she be left on their own?Have you ever done any formal training before, including with previous dogs? *Yes or NoYesNoWhat past training methods have you used?Please include any YouTube, TikTok, or Instagram trainers you have watched and practiced fromHow often do you walk your dog?How long are the walks? Please specify in hours and minutes:During a walk, how much time does your dog spend on lead?During a walk, how much time does your dog spend off lead?Do you play with your dog? *Yes or NoYesNoIf yes, how often?What is your dog's favourite game?What is your dog's favourite toy?NextBEHAVIOUR SUPPORT QUESTIONNAIRE TYPE OF EQUIPMENT USED Do you walk your dog on a collar or harness?--- Select Choice ---CollarHarnessAlways off leadWhat type of lead do you use and what length is it?Do you use any other equipment?For example, muzzle, head collar, etc.NextBEHAVIOUR SUPPORT QUESTIONNAIRE BEHAVIOUR CONCERNS Please describe in as much detail as possible the concerns you have about your dog?How do you react when the behaviour occurs?When did you first notice the behaviour?Does your dog do any of the following behaviours? Select all that apply. *Pull on a leadJump upBark a lotGuard resourcesLike to be touchedLike to be groomedNone of the aboveIs your dog..? Select all that apply: *DestructiveRestlessSound sensitiveNone of the aboveWhat is your dog's reaction to other dogs/animals?Please describe any incidents of biting, growling or showing teeth that you are aware of:Have there been any recent changes in your dog's routine or behaviour? If yes, when did they first occur?For example, daily activities, new addition to the family, moving house or building work on your house, your own routing.How would you describe your relationship with your dog?Finally, how did you hear about Tail Talk? *For example, from an online search, Facebook, your vet, a friend or colleague, etc.All information given will be kept in strict confidence in accordance with UK GDPR law. However, please select from the choices below: *I am happy for my personal information to be kept on fileDo not keep my personal information on fileIMPORTANT: Please tick this box to confirm you have read and agree to the Tail Talk Terms and Conditions and Service Agreement *I confirm I have read and agree to abide by the Tail Talk Terms and Conditions and Service AgreementParagraph TextSubmit