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 |
| |
| COURAGE |
| Threat |
| |
| Sensitivity To Enforcement |
| |
| Slippery Floor |
| |
| Darkness |
| |
| Water |
| |
| Heights |
| |
| Traffic |
| |
| SOCIALIZATION |
| Children |
| |
| Animals |
| |
| Adults |
| |
| POTENTIAL |
| Service Dog |
Companion Dog |
Pet |
_________________________________________________________________________________________________________
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
