Dog Personality Profile (Out of Jurisiction)

OUT-OF-JURISDICTION Dog Profile

Please fill out this form to the best of your ability. The more information we have about your dog, the better we are able to care for them in the shelter.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

General Information

Dog's Name(Required)

Dog's Age(Required)

Do you know your dog’s breed/breed mix from DNA analysis or a trusted breeder? If not, please enter “mixed breed.”(Required)

What color is your dog?(Required)

Where did you originally get your dog?(Required)

If you got your dog from a breeder or a rescue, did you attempt to return the dog to them?

Yes

How long have you had your dog?*(Required)

Do you have any information about your dog’s history before they lived with you?(Required)

What has caused you to surrender your dog?(Required)

Bite History

Has your dog ever bitten a person, dog, or another animal?(Required)

Yes

Has your dog ever bitten a person?

Yes

How many bite incidents have there been?

What were the location(s) of the bite(s) (i.e. on what part(s) of the body)?

Did the bite(s) break skin?

Yes

Did the bite(s) require medical attention?

Yes

Was the bite reported to Animal Control?

Yes

Was the person who was bitten a child?

Yes

If yes, what was the age of the child?

Please briefly describe what your dog was doing, and what the person who was bitten was doing, at the time of the bite(s).

Has your dog ever injured another dog?

Yes

How many incidents have there been?

Did either dog require medical attention?

Yes

Did your dog require stitches or surgery?

Yes

Did the other dog require stitches or surgery?

Yes

Please briefly describe the incident(s).

Has your dog ever bitten or injured a cat in your home?

Yes

Please briefly describe the incident(s):

Medical History

Is your dog spayed or neutered?(Required)

Yes

Has your dog visited a veterinarian?(Required)

Yes

I don’t know

Do you have copies of your dog’s veterinary records? If not, please provide the name of the veterinary hospital.

Is your dog on any medications?(Required)

Yes

Please list the medications and indicate what they were prescribed for.

Does your dog have any allergies or food sensitivities?(Required)

Yes

What are they, and what reaction do they cause?

Behavior & Training Information

Does your dog have accidents in the house?(Required)

Yes, pee only

Yes, poop only

Yes, pee and poop

Which reasons seem most likely for the accidents?

Incomplete house training–needs more practice

Couldn’t hold it long enough

Medical issue

Possible anxiety (e.g. when left alone)

Other

On an average day, what kind of physical exercise and mental stimulation did your dog get?(Required)

If your dog didn’t get enough exercise or play time, how did it affect their behavior?(Required)

Was your dog able to self-entertain and rest/settle on their own, or did they require a lot of supervision and attention?(Required)

Does your dog get “mouthy” (nip, tug on clothes, etc.) when they’re excited? If so, how do you prevent or stop the behavior?(Required)

What cues or tricks does your dog know? (e.g. sit, down, shake, spin, etc.)

Have you ever worked with a dog trainer or attended a dog training class?(Required)

Yes

What kind of training did your dog receive?(Required)

Basic Manners/Obedience

Specific behavior issues

Please describe the behavior issues:

What methods did the trainer use? (check all that apply)

Positive Reinforcement

Food Rewards

Interrupters like spraying water, shaking a can of pennies, saying “no!” etc.

Leash corrections (sharp tugs)

Special collars (prong/electronic)

Training your dog for you, away from your home (e.g. day training, board & train)

Please describe your dog’s tendency to bark – rarely, a lot? What do they bark at?(Required)

How did your dog react if you tried to take away food/chews/toys?(Required)

(If you have never taken items away from your dog or always trade for another item, please state this below).

What scares your dog (e.g. loud noises, traffic, thunderstorms, etc.)?*(Required)

Would you describe your dog as generally shy, anxious, or fearful? Please describe.(Required)

Was your dog crated or left loose when you would leave the house?(Required)

Crated

Loose

Both (depends on the situation)

On average, how many hours was your dog crated?(Required)

When your dog was crated, did they do any of the following: resist going into the crate, bark for long periods of time, have accidents, chew on the crate, or attempt to escape?(Required)

Yes

Please check all that apply.

When your dog was left alone and loose in the house, did they do any of the following: have accidents, bark/whine/howl for long periods of time, scratch/dog at doors, cause damage (beyond chewing shoes or getting into trash)?(Required)

Yes

Please check all that apply.

Separation Anxiety

When your dog is alone in the house, do they…

Eat food or treats?

Yes

Destroy items?

Yes

Please describe:

Do they also destroy items while you are home but they are unsupervised?

Yes

Destroy doors, windows, or flooring?

Yes

Please describe:

Injure themselves?

Yes

Please describe:

Escaped the house?

Yes

Whine, bark, or howl?

Yes

Please describe (what kind of vocalizations, duration, etc):

Urinate or defecate in the house?

Yes

Does your dog also urinate/defecate in the house while you are home but they are unsupervised?

Yes

Drool excessively or vomit?

Yes

Do these issues occur every time they are alone?

Yes

Is your dog afraid of thunderstorms or fireworks?

Yes

Have there been any major changes in your household recently such as a move, a new baby, a divorce, or the death of a sibling pet?

Yes

Please describe:

Have there been any recent changes in your dog’s health such as the onset of illness, allergy, or chronic pain like arthritis?

Yes

Please describe:

Did the problem behaviors appear suddenly or get worse after these events?

Yes

If you have ever watched your dog on video while they're alone, describe their body language and behavior:

Interactions with People and Other Animals

How does your dog behave with unfamiliar adults outside the home (on walks, etc.)?(Required)

Calm

Excited

Friendly

Nervous/Shy

Growled and/or snapped

Fearful

Is your dog fearful of male-presenting people?(Required)

How does your dog behave when guests come to your home?(Required)

Calm

Excited

Friendly

Nervous/Shy

Growled and/or snapped

Fearful

Warms up after some time

Resists being touched

Do you have any information/observations about how your dog interacted with children outside your home–children of family members, friends, or neighbors?(Required)

Has your dog ever lived with children under 13?(Required)

Yes

Has your dog ever lived with babies or toddlers?(Required)

Yes

Have you ever had concerns about your dog’s behavior around children in your home?(Required)

Does your dog ever…(Required)

Bark, growl or snap at them

Chase them

Knock them over

Tug on their clothes

None of the above

Do you feel your dog could live comfortably and safely with babies/toddlers in the future?(Required)

Has your dog ever lived with children between the ages of 4 and 12?(Required)

Yes

What were the ages of the children? How did they get along? Did you ever have concerns about your dog’s behavior around them?

Has your dog ever…

Bark, growl or snapped at them

Avoid them

Chase them

Knock them over

Tug on their clothes

Get too excited or rough during play

Do you feel your dog could live comfortably and safely with kids in the future?

Do you live in an apartment?

Yes

Does your apartment have any of the following ? Check all that apply.

Lobby

Elevators

Long Hallways

Was your dog nervous on the elevator? How did you handle it?

What would happen if there was another dog on the elevator?

How did your dog behave when passing another dog in the hallway or lobby?

Did your dog bark at sounds in the hallway?

Did neighbors ever mention hearing your dog barking?

How does your dog react to other dogs on walks?(Required)

Friendly

Playful

Barks/Lunges

Growls/Snaps

Pulls toward them

How did you prevent or redirect behavior on walks such as pulling, lunging, barking, growling, and snapping?(Required)

Has your dog lived with another dog?(Required)

Yes

Briefly describe their relationship:

Does your dog enjoy playing with other dogs?(Required)

No, they prefer to be alone

No, they prefer to stay with familiar people

Yes, but only with certain dogs

Yes, with lots of different dogs

Has your dog been to dog parks?(Required)

Yes

Did they get in any scuffles or fights? Please explain briefly.

How does your dog interact with other dogs off-leash?(Required)

Please add any other information or observations about interactions with other dogs.(Required)

Has your dog ever lived with a cat?(Required)

Yes

Briefly describe their relationship. How did they interact? Do you feel your dog could live comfortably and safely with a cat in the future?

Additional Information

Is there anything else you would like to tell AWLA and potential adopters about your dog?(Required)

Can AWLA contact you for clarification or more details to help us understand and care for your dog?(Required)

Yes

Would you like AWLA to share your email address with an adopter?(Required)

Yes

*By selecting YES you are allowing AWLA to provide your email to any and all adopters. AWLA will not request, mandate, or facilitate any contact between yourself and the adopter; it is solely the decision of an adopter to contact you. Additionally, AWLA is not responsible for the content or amount of communication between yourself and the adopter, and you agree to hold AWLA harmless from any action arising out of said communications.

Please upload your pet’s medical records and any photos you may have here.

Max. file size: 128 MB.

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