Client's Name

First Name

Last Name

Will client be home?

Yes

No

Body Language

Tail Tucked

Low-Wagging Tail

Big Eyes / Overly Alert

Happy & Loose

Playfull

Touching Tolerance

Head / Mouth

Body / Legs / Toes

Tail

Leash Behavior

Puppy / Limited Experience

Bolts out door immediately, pulling

Hits end of leash and looks back at me

Actively look to be in my space

Loose leash

Scared / unwilling to move

While Leashed: Reaction to People / Things

Able to pass

Crying / Whining / Barking

Able To Redirect

Lunging

Reactivity Level 1

Reactivity Level 2

Reactivity Level 3

Reactivity Level 4

Reactivity Level 5

N/A

Response To Sudden Sounds

Unphased. No mood change

Jumped / quick to recover / happy

Spooked / Frightened

Barking / Overstimulated

Succesful Commands Tested

Sit

Down

Look / Watch me

Come (Leash pressure)

Take

Drop

Leave It

Short stay

Heel