DOG: _______________BREED: __________________CAGE: _______ STUDENT: _____ DATE: _______TIME: S _________ 

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BEHAVIOR EVALUATION
DOG: _______________BREED: __________________CAGE: _______ STUDENT: _____ DATE: _______TIME: S _________ For this session, I was the TRAINER and/or OBSERVER. (circle one or both) F ________ GENERAL BEHAVIORS HOUSEBROKEN: #1 / #2 / N/A_/ Inside or Cage Soiled MARKER: Y / N _________ MOUTHY: none / low / medium / high / variable JUMPY: none / low / medium / high / variable BEHAVIOR W/OTHER DOGS : ignores / slightly distracted / highly distracted / ?aggression? INAPPROPRIATE/UNACCEPTABLE BEHAVIOR SUBJECT: (e.g., staff, cat, other dog, visitor) ______________________________________________________________________________________________ CONTEXT: (details about the prior stimuli)______________________________________________________________________________________________ _______________________________________________________________________________________________________________________________________ ANIMAL’S BEHAVIOR & RESULTING ACTION(S):_____________________________________________________________________________________ _______________________________________________________________________________________________________REPORTED TO STAFF? Y / N TRAINER OBSERVATIONS Timid ♦------------------------------♦ Bold Avoids contact♦------------------------------♦ Seeks Contact Calm♦------------------------------♦Excitable Excited cage exit ♦--------------------------------♦ Calm cage exit Resistant ♦-----------------------------♦ Calm return General Comments: Did not eat treats Used toys GL needed TRAINING EVALUATION
WARMUP/REVIEW EXERCISES: _______________________________________________________________________________________________________ Target Behavior Frequency at BEGINNING Low Medium High
Low Medium High
Low Medium High
Setting Hall Garage/Room Outside
Hall Garage/Room Outside
Hall Garage/Room Outside
Other Stimuli Treatment Description Principle SR SP SR SP
SR SP
Type of Contingency S F Target
S F Target
S F Target
% Response Proficiency at end of session Comments 
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