ECFBR Dog Temperament Questionnaire Form

ECFB Rescue Intake Form
Dog Temperament Questionnaire
We understand that rehoming your dog is an extremely difficult decision. We will do everything we can to make this process as simple as possible. The More information you provide to us the better able we will be to find the best possible home for your dog.Please fill out as much information as possible.
I am a*

Member of the public needing to surrender my own petECFBR Approved Foster HomeVet / Shelter Employee Seeking Rescue AssistanceMember of the public who found a strayAnimal Networker/CrossposterOther
If stray, what date did you find it and where did you find it (intersection/town/province)?
Today's Date*

MonthDayYear
Your Full Name*
Your Email*
Your Phone*
Your Address*
Dog's Name (if stray, type stray)*
Breed*
Color(s)*
Age (provide birth date if possible)*
Weight*
Has this dog been sterilized (spayed or neutered)?*
Is this dog up to date on vaccinations?*
Date of last rabies vaccine*
Microchip number*
Type N/A if not chipped
Is this dog registered and is the registration being surrendered?*
Type N/A if not registered
Where did you get this dog from? (Breeder? Rescue? Pet Store? Classified ad? Given to you? *
If you purchased from a breeder please supply breeder's name
If you purchased dog from a breeder or adopted from a rescue did you contact breeder/rescue to return dog to them? *
Enter n/a if you did not get the dog from a breeder or rescue.
By typing my full name here I confirm that I am the owner of this dog and have legal right to give him/her away*
Type N/A only if you are not the owner
Health?*

SickInjuredObviously PregnantPossibly PregnantHealthy/appears healthyOther
Socialization*

Sweet and socialA little shy but warms up when you're niceVery shyFrozen with fearFear biterAggressiveOther
Has this dog ever bitten anyone?*

YesNoOther
How does this dog behave around men?*

Loves menA little bit shy/scared of menVery afraid of menFear biter around menOther
How does this dog behave around women?*

Loves womenA little bit shy/scared of womenVery afraid of womenFear biter around womenOther
How does this dog behave around children under 10 years old?*

Loves kidsToo energetic or rough for young childrenVery gentle with childrenSeems afraid of childrenFear biter around childrenMay growl or snap at childrenGrowls when child approaches food or toyOther
How does this dog behave around strange dogs?*

Runs up to them to playGreets appropriately (nose to tail sniffing)Stares the other dog down and may stiffen musclesSeems submissive or scared of other dogsWill show the other dog their side or back endTurns head away when the other dog stares at itNo sense of personal space, just gallops up to the other dog and expects the other dog to be fine with thatLunges, barks, growls and/or shows aggressionOther
How does this dog behave around other dogs and high value food, treats or toys? Check all that apply:*

Lets the other dog take it.Posture is relaxed, no muscles tensed.Stares the other dog down.Muscles tense when other dog approaches.Head goes down over the food/toy as other dog approaches.Gobbles the food faster.Growls at the other dog.Bares teeth at the other dog.Snaps/snarls at the other dog, clearly guarding the food/toy.As other dog approaches, this dog backs away from the food bowl.Seems very carefree and unconcerned about holding onto food or toys when other dogs are around.Has not been tested around other dogsOther
How does this dog behave around cats?*

Sniffs cat in crate but seems disinterestedSniffs free-roaming cat but seems disinterestedSeems a little scared of catsSeems interested in playing appropriately with catsThinks cats are chew toysAppears to have a prey drive wants to chase and harm cats. Very much NOT cat safe.Thinks cats are really fun to chase but if caught does not do any harm. Seems to be more about the chase than the cat.Not tested around cats, no cats here to test withThat cats feel safe enough to use this dog as a couchOther
Leash/Collar training?*

Freaks when you put a slip lead onAlready wearing a collar and used to itFreaks when you put a collar onUsed to harness but not collarPulls strong on leashPulls a little on leashSeems very well leash trained, walks nicely on leashOther
Housebreaking training?

Not housebroken at allCrate trainedMarks indoorsPartially housebroken, but doesn't know how to tell you when needs to go outsideSolidly housebroken, will bark or pace or scratch door to go outsideCan hold it overnight even if not cratedLearning crate trainingUnknownNew arrival. Just started training.Other
Car rides?*

Loves the car, rides great. Sits in back seatJumps right inNeeds help to get into car but likes to rideSeems unsure of getting into carFearful of the carDrools but does not vomit during ridesGets carsickSleeps during car ridesMust ride cratedVery hyper in carVery nervous, pants and whinesOther
Nail trimming?

Does great!Not bad, a little nervousPretty nervous, we have to do a few nails at a time and take breaksSeems not used to nail trims. Gets very stressed and needs training in this areaWe haven't tried to trim nails yetOther
Any additional comments regarding temperament that haven't been covered by the questions above?*
Any past or current health issues? Please describe and include treatment given if any.*
Please supply vet information and give your vet permission to send us the medical records if you do not have a copy.*
Please tell us what the dog eats (brand, raw/dry/canned), how much and how often.*
What is your reason for surrender?.*
Please take 2 or 3 good quality, well lit photographs of the dog and email them to us at
info@ecfbrescue.com with your name and the animal's name in the subject of the email.
Should be Empty:

ECFB Rescue Intake Form

Dog Temperament Questionnaire