Temperament Evaluation For Your Dog

 Please print out and send or fax to address below.

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

_________________________________________________________________________________________________________
Date                    Name of Evaluator                                          Signature                                Dog Owner

Additional Comments:__________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________

Fax: (831) 458-0169

Von Falconer K-9 Training Facilities
750 Comstock Lane
Santa Cruz, CA 95060