Step
1
of
15
6%
Hidden
Dog_Name
The next 12 questions explore
‘s level of fear and anxiety in various situations.
Please use the following 5-point scale: 😄 😬 😟 😨 😱 where
😄 = has no visible signs of fear
😱 = has extreme fear: cowers, retreats, or hides, etc.
Alright, let’s get going!
In response to sudden or loud noises (e.g. thunder, fireworks, vacuum cleaner, etc.).
(Required)
😄
😬
😟
😨
😱
In response to strange or unfamiliar objects on or near the sidewalk (e.g. skateboards/bicycles, plastic trash bags, etc.).
(Required)
😄
😬
😟
😨
😱
When exposed to unfamiliar situations outside of their home (e.g. car trips, elevator rides, vet visits, etc.).
(Required)
😄
😬
😟
😨
😱
When having nails clipped by a household member.
(Required)
😄
😬
😟
😨
😱
When groomed or bathed by a household member.
(Required)
😄
😬
😟
😨
😱
How often does
exhibit any of the above behaviors?
(Required)
Never
Sometimes
Every Week
Every Day
All. The. Time!
How is
when approached directly by an unfamiliar person while away from your home.
(Required)
😄
😬
😟
😨
😱
When an unfamiliar person tries to touch or pet
.
(Required)
😄
😬
😟
😨
😱
When
is approached directly by an unfamiliar dog.
(Required)
😄
😬
😟
😨
😱
When
is barked, growled, or lunged at by an unfamiliar dog.
(Required)
😄
😬
😟
😨
😱
In any of the previoius situations, which of the following behaviors does
exhibit? If more than one, which is most often?
Trembling or shaking
Vocalizing (whimpers, barks, yelps, etc.)
Vomiting, salivating excessively, or appearing nauseous
Panting when not hot
Urinating or defecating
Tucks tail or tries to escape/avoid
None of these
Hidden
Symptoms
How is
when the doorbell rings or there's a knock at the door?
(Required)
Chill
Gets up
Runs to the Door
Lots of Barking
Freaks the F&*k Out
Are there other pets besides
in your household?
(Required)
Yes
No
Hidden
Stranger-Directed Fear -
's Average
Hidden
Dog-Directed Fear -
's Average
Hidden
Touch Sensitivity -
's Average
Hidden
Non-Social Fear -
's Average
Hidden
's General Anxiety Score
Hidden
's Situational Anxiety Score
Hidden
Trazodone Dose
Do they get along?
(Required)
Yes
No
Is this a source of stress or anxiety for
?
(Required)
Yes
No
×