Dog Fear Assessment Form
Please complete this assessment to help us understand your dog's fear responses in various situations.
Dog's Name
*
Dog's Age
Breed (if known)
How would you rate your dog's general level of fearfulness?
*
1
2
3
4
5
Which of the following situations cause your dog to show fear? (Select all that apply)
Loud noises (e.g., thunder, fireworks)
Strangers
Other animals
Being left alone
Car rides
Other
How does your dog typically react when afraid?
*
Rows
Never
Rarely
Sometimes
Often
Always
Hides or withdraws
1
2
3
4
5
Trembles or shakes
6
7
8
9
10
Barks or whines
11
12
13
14
15
Attempts to escape
16
17
18
19
20
Shows aggression
21
22
23
24
25
What is the most common trigger for your dog's fear?
*
Loud noises
Strangers
Other animals
Separation
Other
How quickly does your dog recover after a fearful event?
*
Very quickly
1
2
3
4
Very slowly
5
1 is Very quickly, 5 is Very slowly
Please describe any specific situations or triggers that you think are important.
Submit Assessment
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