Cummings School of Veterinary Medicine

Dog Questionnaire for the Behavior Service

Step 1

Download your preferred format:

Download the Dog Questionnaire in Microsoft Word

For other species, please refer to our forms page.

Download the Dog Questionnaire in PDF

Step 2

Fill out the questionnaire completely

Complete the questionnaire. The questionnaire will capture information, such as basic history, the presenting problem, your pet’s habitat or environment and steps you have taken so far to resolve any issues.

Step 3

Send us the completed questionnaire

Send us your completed questionnaire. Your completed form must be submitted before your appointment can be finalized.

There are four ways to submit your completed questionnaire:

  • Email it to us
  • Fax it to us at 508-839-7951
  • U.S. Mail
    The Behavior Service
    Foster Hospital for Small Animals
    Cummings School of Veterinary Medicine at Tufts University
    200 Westboro Rd.
    North Grafton, MA 01536