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Christine Norman Memorial Fund
Forms
Adoption Form
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Foster Form
Surrender Form
Events
Contact Us
Donate
Adoption
Adoptable Dogs
Adoption Process
Adoption Form
Resources
Our Mission
Training & Enrichment
FAQ's
Our Partners
Surrender Form
Get Involved
Volunteer Info
Foster Info
Donate
Christine Norman Memorial Fund
Forms
Adoption Form
Volunteer Form
Foster Form
Surrender Form
Events
Contact Us
Donate
The Christine Norman Memorial Fund Questionnaire
Get Started
This form will take about 15-20 minutes to complete
Contact Details
Full Name:
Address:
City/Province:
Postal Code
Email Address:
Phone Number:
General Information
What would you most like to change about your dog's behaviour? Name the top two things in order of importance
Is the dog housebroken? Crate Trained?
What type of exercise does the dog currently receive?
My dog's favourite toy is:
My dog's favourite activity is:
My dog's favourite food is:
Training
Has your dog attended any previous training?
Yes
No
If "Yes", who provided the training?
If "Yes", what tools, techniques were used?
Who will be responsible for the training going forward?
Describe how you reward your dog for good behaviour.
Describe how you reprimand, correct or punish your dog for unwanted behaviour and give an example of the circumstances under which you might do so?
Behaviour Issues
Has the intensity of the behaviour increased, decreased or stayed the same?
Who or what is present when the behaviour occurs?
When was the most recent incident?
What prompted you to seek help this time?
How much daily time and effort are you willing to spend on resolving this issue?
Common Behavioral Challenges
Please check all that apply
Barking (Excessive)
Chews/Licks Itself
Destructive Digging
Destructive Chewing
Does not listen
Escaping
Excitable
House Soiling
Jumps Up
Overactive
Phobias (thunder/cars/etc.)
Pushy/Demanding
Tail Chasing
Separation Anxiety
Shyness
Sleep Concerns
Stool Eating
Submissive Urination
Please list any behaviours not listed above:
Is your dog spayed/neutered?
Yes
No
If yes, at what age was this done? If not, what are the reasons for this?
Are your dog up to date on vaccines, ie: rabies, parvo?
If no, have they ever had vaccines in their life?
Are there any possible or known medical issues with your dog? Sometimes even a slight limp, loss in appetite can have an underlying problem.
Are these behaviours sudden and out of character for your dog?
*Please fill this form out to the best of your ability so our trainer has a good idea how to start your session.
*Before your session with Underdogs Rescue you will be required to sign a waiver.
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