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Canine Behavior Case Study Template
This form is intended to be used as a guide for developing your case study to be featured in BARKS Magazine. Submitted case study forms will not be considered for publication.
To submit your case study to BARKS for consideration, use the BARKS submission form:
https://www.emailmeform.com/builder/form/l553cpSGd7WY
Name
First
Last
Your identified pronouns
Email
Dog's Name
Species/breed
Age
Sex (spayed/neutered)
Does the dog have any sensory deficits (e.g., deafness, blindness)?
Details of other pets in household
Details of people in household
Any known background about the dog
How long has the client had the dog?
Is the client an experienced dog owner/experienced with this breed?
What is the dog’s diet? Give details of mealtimes/treats
Is the dog on any behavior medication, nutraceuticals or supplements? If so, who prescribed them?
Where does the dog sleep?
Where does the dog stay if left home alone?
What sort of exercise (on leash/off leash/access to other dogs)/playtime (toys, games)/other highlights does the dog get on a daily basis and how often ( i.e. details of daily routine)?
Details of any medical conditions
Details of any medications and other treatments for medical conditions
Has the dog had any training (if so, where/what)?
Does the client train the dog at home (if so, how)?
What sort of basic obedience does the dog have?
Details of the problem behavior
When was it first noticed?
Was there any apparent cause?
Frequency/intensity/ duration/timings/locations
Triggers/contexts
Dog’s emotional state/body language before/during/after performing the problem behavior
Dog’s overall mood state when not performing the problem behavior
What is reinforcing the problem behavior?
How does the client react at the time of the problem behavior (if present)?
What has the client tried to do about it, if anything (and how does the dog respond to this)?
Observations during consult
Perceptions of owner/owner compliance
Behavior modification plan
Suggested pharmacological intervention (if considered absolutely necessary and only in conjunction with behavior modification plan)
Follow up/progress report
If there was a conclusion to the case, what was it?
Any other relevant details/comments
