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CASE STUDY SUBMISSION FORM
Patricia McConnell, PhD
Dog-Dog Aggression
April 13, 2003 • Maumee, Ohio
If you are interested in submitting a case study of a dog with a behavior problem, please complete the form below. Dr. McConnell will review the cases and let us know which ones she will use about 3 weeks prior to the event. Please note, only a limited number of cases will be allowed and cases will be chosen based on the educational value for the attendees. She is looking for the following:
  • Dogs that will aggress on other dogs and bite.
  • Dogs that are aggressive to other dogs in the household.
  • Dogs that lunge and bark at other dogs when on leash.
If your dog is chosen as a case study, you must be able to confine your dog in a crate (for safety reasons) when not be used for demonstrations.


First Name:
Last Name:
City:
State:
Work Phone:
Home Phone:  
Email:
Type of aggression:
Summarize the problem you'd like to work on in a few words (ex 1: growls and bark/lunges at unfamiliar dogs; ex 2: aggresssive to human visitors; ex 3: snaps/bites at me when I try to take away food or a special toy):

Dog's Age:
Dog's Sex:
Dog's Breed:
Has the dog ever bitten or injured someone or another dog?:

How would the dog do in an intense environment with noise, lots of people and other dogs?:

What's your goal with the problem that you have summarized?:

Please add any details that you'd like to about the aggression problem that you would like to discuss:





Thank you for taking the time to submit your case study.

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