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Deaf Dog Survey (First)

We're sorry, but we are no longer accepting submissions to this survey. This copy is available for viewing only.

Closed Deaf Dog Survey

All of the questions (in black) are required. Make sure to answer all of these before you submit the finished form (in some cases, you may need to mark N/A - not applicable). All the other questions in brown are optional. Only answer these questions if they apply to your situation/experience.

(If you answer "Yes" to any of the questions regarding dog bites or aggression, we may want to follow up with you later to get the facts regarding the incident.)


Something About You ...

Owner's name:
      First:    Last:

E-mail address:
      

Had you owned other HEARING dogs before adopting your deaf dog?
       Yes    No

Had you trained other HEARING dogs before training your deaf dog?
       Yes    No

Did you have previous experience with a DEAF dog prior to owning this DEAF dog?
       Yes    No

Did you know your dog was deaf when you adopted it?
       Yes    No

How old was your dog when you determined it was deaf? (Please say "Unknown" if you do not know.)
      

Did you get help from a professional trainer in training your DEAF dog?
       Yes    No    (If "No" please mark N/A on the next question.)


If so, did that trainer have prior experience with DEAF dogs?
       N/A    Yes    No    Unknown

In training your deaf dog, did you use a:
      (Check all that apply.)
       shock collar?
       invisible fence?
       vibrating collar?

Something About Your Dog ...

Dog's name
      

(Dominant) Breed:
      

Age (Approximate or at passing):
       (please specify months or years)

Gender:
       Male    Female

Spayed or Neutered?
       Yes    Not Yet

Dog's age when adopted by you:
       (please specify months or years)

Deceased?
       Yes    No

My dog is
       Bi-laterally Deaf (deaf in BOTH ears)
       Unilaterally Deaf (deaf in ONE ear)

My dog lost it's hearing due to
       Congenital (deaf at birth)
       Old age
       Injury or other trauma
       Illness, medication or surgery
       Unknown

My dog knows hand signals/commands (number of hand signals)

My dog has the following titles and/or certifications:
      

More About Your Dog ...

Does this dog have a history of abuse or neglect?
       Yes    No    Unknown

Has your dog ever been hit by a car?
       Yes    No    Unknown    (If "No" or "Unknown" please mark N/A on the next question.)


If you answered "Yes", did the dog survive the encounter?
       N/A    Yes    No

Normal Behavior Issues:
Which (if any) of the following have you experienced with this dog? (Check all that apply.)
       Chewing
       Digging
       Excessive Barking
       Separation Anxiety
       Difficult to house train
       Jumping on people
       Jumping on furniture

Abnormal Behavior Problems:
Which (if any) of the following have you experienced with this dog? (Check all that apply.)
       Compulsive shadow chasing
       Compulsive licking
       Compulsive tail chasing/spinning
       Seizures (epileptic or other)
       Seizure-based aggression
       Other (Please specify)

Would you say that your dog is startled each day by normal events (such as tasks you perform around the house, unexpected movement, visitors, lights turning on, etc.)?
       Frequently    Occasionally    Never

When you wake your dog from sleep is he or she:
    startled? Yes    No    Sometimes
 frightened? Yes    No    Sometimes
 aggressive? Yes    No    Sometimes
 does he/she bite? Yes    No    Sometimes
  Other (Please specify)

My dog dislikes (i.e., is fearful of, avoids, becomes nervous, etc.) (Check all that apply.)
       Strangers
       Children
       Other dogs
       Cats
       Vet
       Other (Please specify)

My dog responds aggressively to (i.e., growls, barks, snaps, chases, etc.) (Check all that apply.)
       Strangers
       Children
       Other dogs
       Cats
       Vet
       Other (Please specify)

More Behavioral Questions ...

Has your dog ever been accidentally startled?
       Yes    No    (If "No" please mark N/A on the next 2 questions.)


In response to being accidentally startled, did the dog respond aggressively?
       N/A    Yes    No
In response to being accidentally startled, did the dog bite?
       N/A    Yes    No
Have YOU ever tripped over, or otherwise startled, your sleeping dog?
       Yes    No    (If "No" please mark N/A on the next 2 questions.)


In response to being tripped over, did the dog respond aggressively?
       N/A    Yes    No
In response to being tripped over, did the dog bite?
       N/A    Yes    No
Has a CHILD ever tripped over, or otherwise startled your sleeping dog?
       Yes    No    (If "No" please mark N/A on the next 2 questions.)


In response to being tripped over, did the dog respond aggressively?
       N/A    Yes    No
In response to being tripped over, did the dog bite?
       N/A    Yes    No

Has your dog ever bitten a person?
       Yes    No    Unknown

Has your dog ever attacked a person?
       Yes    No    Unknown

Your Final Thoughts ...

Training my deaf dog was:
       Pretty easy and/or no more difficult than training a hearing dog
       Difficult at first, but became progressively easier
       Very difficult
       My dog is not trained

Would you knowingly adopt another deaf dog?
       Yes    No    Maybe

Would you encourage others to adopt a deaf dog?
       Yes    No    Maybe




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