Von Falconer K-9 Temperament Evaluation For Your Dog

PUPPY	DOG
Breed	Name of Dog
Litter Reg #	Age
Sire	Handler
Dam	Breed
Color: B/T B/R/B Sable	Sex
Sex	Other
Age
Collar Color

Name of Sire Dam

Dam Owner

Owner of Dog

Litter Owner Name Litter Reg. #

Breed

Date of Birth Age

Collar Color

	VERY GOOD	GOOD	SATISFACTORY	POOR
A. Soundness	_____	_____	_____	_____
B. Noise Sensitivity	_____	_____	_____	_____
C. Curiosity	_____	_____	_____	_____
D. Use Of Senses	_____	_____	_____	_____

	HIGH	MEDIUM	LOW
E. Prey Drive	_____	_____	_____
F. Defense	_____	_____	_____

REACTION UNDER STRESS

Body Posture

Tail

Ears

Stance

RATTLE STICKS

Comments

COURAGE

Threat

Sensitivity To Enforcement

Slippery Floor

Darkness

Water

Heights

Traffic

SOCIALIZATION

Children

Animals

Adults

CROWDS

POTENTIAL
Service Dog	Companion Dog	Pet

CONFIRMATIONS

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Date Name of Evaluator Signature Dog Owner

Additional Comments:______________________________________________________________________________________________
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