This form will give me information on separation anxiety issues.

Name *
Name
Does your dog Only Have Accidents, Destroy things or Bark when you are gone? (it does not do this behavior when you are home) *
Is your dog Anxious before your leave the house *
How does your dog react to being left at home when it is loose indoors *
Mark all that apply
How does your dog react to being left at home when it is in a crate *
mark all that apply
How does your dog react to being left at home when it is in a gated area or exercise pen *
mark all that apply
How does your dog react to being left at home when it is closed in a room *
mark all that app
How does your dog react to being left at home when it is and locked outside *
mark all that apply
What is your dog's reaction to being left alone in the car *
mark all that apply
When left home alone how long does the dog remain upset *
Type in a number
Has your dog injured itself while home alone *
Type in a number