Title Page
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Conducted on
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Impound Number
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Assessing Officer
- Michael Gray
- Wayne Brooks
- Rebecca Creer
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Animal Impoundment Reason
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Animals Name
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Sex
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Breed
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Microchip
Behaviour Testing
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Signs of Training
- Dog walks on leash
- Dog not trained to leash.
- Dog panicked / thrashed around wearing leash.
- Sits on command
- Sits if coaxed to do so
- Lays down on command
- Lays down if coaxed
- Dog is attentive and focused.
- Dog is not attentive or focused.
- Dog actively refused to engage or listen when spoken to
- Dog showed no signs of training
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Anxiety / Behavioral Issues
- The dog settled well in the facility
- The dog has failed to settle in the facility
- The dog travelled quietly, little to no barking.
- The dog barked for the majority of its transporting
- Dog has been quiet in the facility
- Dog has persistently barked and or whined while in the facility.
- Dog has appeared calm and relaxed in the facility.
- Dog has chewed, and appeared anxious in the facility
- Dog appears to be constantly stressed or distressed.
- Dog has a tendency to shake
- Dog tends to bark and whine
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Aggression Towards Humans
- Dog appears friendly and compliant when interacting with humans.
- Dog was happy and playful.
- Was able to fully handle the dog without concern.
- Gave assessor concerns when handling dog.
- Assessor felt uneasy around the dog
- Dog appeared fearful and nervous.
- Dog wouldn't release eye contact
- Dog growled and postured.
- Dog tried to nip assessor.
- Dog tried to bite assessor.
- Unable to safely handle or leash dog to conduct assessment.
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Officers Notes
Dog to Dog Testing (if other dogs are present)
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Observations
- No other dogs available for testing - Not conducted
- Playful and or excited.
- Licking lips
- Wagged tail and licked lips.
- Excited whimpering tail wagging.
- Assessor felt uneasy during testing.
- No interest in interacting with other dog
- Actively avoided interacting with other dog.
- Dominant behavior toward other dog
- Hackles came up when other dog approached
- Snarled at other dog.
- Tried to attack other dog
Aggression Toward Other Dogs.
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Behaviors observed
- No other dogs available for testing - Not Conducted
- Nil aggression.
- Growled
- Snarled
- Hackles up
- Tried to attack
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Officers Notes
Assessment Notes
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Officers Final Observations
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Determination
- Dog is suitable to rehome, proceed with processing.
- Dog unsuitable to rehome, euthenasia to occur
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Photograph of dog
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Assessing Officer to sign
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Time date completed.