Client Name

Email Address

Pet Name

Please list the current problem behaviors you are working on

Please list any problem behaviors that have not been addressed

Please list all of the medications and supplements you are currently giving your pet

Include: drug name, concentration, amount given, interval

Have there been any incidents of the problem behaviors for which you have sought help since last seen? If so, what happened, what were the circumstances and how did the pet react?

How are you handling the problem behaviors that specifically have given you trouble?

How are those efforts working, and what does your pet do when you use them?

Have there been any new behaviors that have developed since the last appointment? If so, what specific behaviors have developed in what circumstances do they occur?

Have there been any changes in the household (pet and human) since the last consultation?

Is your pet using a head collar or no-pull harness? If so, has this helped with any of the problem behaviors? If so, which ones?

Do you have any questions about the appropriate use of head collars or harnesses?

Are there any parts of the programs or protocols with which the pet or you are having more difficulty than others?

Is there any family member who is having more trouble with the program than other?

To whom does your pet currently best listen? Is this a change? Why do you perceive that this difference exists?

Has the program and protocols helped in dealing with your pet (more relaxed, understanding, confident)?

What have the reactions of others (friends, neighbors, other pet owners, etc) been to the pet-owner participation in behavioral therapy?

Have you found that, in your discussions with others about your pet, other people have made helpful suggestions? If so, what were these suggestions?

Is there any other information that you believe is relevant to your pet's behavior problems (changes in diet, illness, other)?

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Behavioral Progress Evaluation Questionnaire

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