Mater Pet Therapy - Self Assessment

Owner Details

Name
 
 
 

Hospital Location

 
 

Dog Details

 
 
 
 
 
Desexed?
 

Assessment Questions

 
 
 
 
 
 
 
 
 
 
 
 
Does your dog nip, mouth or chew people?
 
Does your dog growl when people approach?
 
Does your dog growl/​snap/​bite when you go near its food?
 
Does your dog howl or cry for attention?
 
Does your dog shy away from people?
 
Does your dog urinate when people approach?
 
Does your dog frequently lick people?
 
Does your dog frequently jump up on people without being asked?
 
Is your dog able to be handled by strangers?
 

Obedience Skills

Can your dog perform the below taks on command with a hand signal/​vocal cue?
Sit
Drop
Stand
Stay
Come when called
Walk on a loose lead
'Leave-it' cue
Toilet on cue