New Assessment Framework Form Please enable JavaScript in your browser to complete this form.Date of Assessment *Dogs Name *Age *Dog Info *MaleFemaleSpayed/NeuteredSource *StrayOwner SurrenderSeized (RSPCA Only)TransferMedical Concerns *Previous History KnownWelfare Assessment – Body conditionWelfare Assessment – Mobility Welfare Assessment – Skin/Coat Welfare Assessment – Sleep/RestWelfare Assessment – Ability to Settle Welfare Assessment – Stress IndicatorsPanting unrelated to heat or exercisePacingRepetitive behaviours (e.g. spinning, circling)Excessive barking or vocalisationTremblingAvoidance of people or environmentShutdown or withdrawn behaviourHypervigilance – (constantly scanning the environment, appearing unable to relax, easily startled, or watching people, dogs, or sounds very closely)Other significant behaviours (please note below) Behaviour – Initial impression – Handling tolerance Paws/legsEarsEyesMouthTailNotesBehaviour – Initial impression – Resource responseHigh-value foodOther food/food related items (bowls)ToysSleeping areaHuman attentionNotesResponse to familiar people Response to strangers Environmental Confidence – Kennel environment Environmental Confidence – Outdoor areas Environmental Confidence – New rooms Environmental Confidence – Slippery floorsEnvironmental Confidence – Stairs Environmental Confidence – Car travel Environmental Confidence – Unfamiliar Noises Emotional State RelaxedConfidentFearfulHyper-arousedDefensiveShutdownCuriousAnxiousFrustratedTrigger Assessment – Men – Intensity Selected Value: 1 Trigger Assessment – Men – Trainability Selected Value: 1 Trigger Assessment – Men – Recovery time / NotesTrigger Assessment – Children – Intensity Selected Value: 1 Trigger Assessment – Children – Trainability Selected Value: 1 Trigger Assessment – Children – Recovery time / NotesTrigger Assessment – Dogs – Intensity Selected Value: 1 Trigger Assessment – Dogs – Trainability Selected Value: 1 Trigger Assessment – Dogs – Recovery time / NotesTrigger Assessment – Loud noises – Intensity Selected Value: 1 Trigger Assessment – Loud noises – Trainability Selected Value: 1 Trigger Assessment – Loud noises – Recovery time / NotesTrigger Assessment – Handling – Intensity Selected Value: 1 Trigger Assessment – Handling – Trainability Selected Value: 1 Trigger Assessment – Handling – Recovery time / NotesTrigger Assessment – Resources – Intensity Selected Value: 1 Trigger Assessment – Resources – Trainability Selected Value: 1 Trigger Assessment – Resources – Recovery time / NotesTrigger Assessment – Vehicles – Intensity Selected Value: 1 Trigger Assessment – Vehicles – Trainability Selected Value: 1 Trigger Assessment – Vehicles – Recovery time / NotesDog 2 Dog Behaviour – Distance observationSocialNeutralAvoidantOver-arousedFearfulVocalLungingDog 2 Dog Behaviour – Parallel walking SocialNeutralAvoidantOver-arousedFearfulVocalLungingDog 2 Dog Behaviour – GreetingSocialNeutralAvoidantOver-arousedFearfulVocalLungingDog 2 Dog Behaviour – Off-lead (if appropriate) SocialNeutralAvoidantOver-arousedFearfulVocalLungingBreeds AssessedTraining Assessment – Name responseYesNoCommentsTraining Assessment – Basic commandsYesNoCommentsTraining Assessment – Loose lead YesNoCommentsTraining Assessment – Agility potential YesNoCommentsTraining Assessment – Obedience potentialYesNoCommentsTraining Assessment – Crate YesNoCommentsTraining Assessment – Head collar (if applicable) YesNoCommentsTraining Assessment – Muzzle YesNoCommentsTraining Assessment – Additional YesNoComments Bite Risk Assessment (if applicable) – Number of incidents Antecedents Is there a common trigger/most at risk groupBite severity (use framework) Recovery afterwards Quality of Life – Enjoys food YesNoQuality of Life – Enjoys interactionYesNoQuality of Life – Can relax YesNoQuality of Life – Interest in environmentYesNoQuality of Life – Comfortable medically YesNoQuality of Life – Positive social interaction YesNoQuality of Life – Can learn YesNoQuality of Life – Displays normal species behaviours YesNoAdoption AssessmentFirst-time ownerQuiet householdChildren 12+Dog companionRuralExperienced ownerActive householdAdult-onlyOnly dogUrban Management RequirementsSecure garden (minimum 6 ft fencing)Double leadMuzzle trainedOngoing behaviour supportMedicationNo off-lead exercise initiallyOverall outcome Ready for adoptionGeneral fosterExperienced fosterNot suitable for rehomingPotential transferTraining requiredVeterinary investigationsOngoing veterinary careSpecialist assessmentFurther assessment requiredAdditional Comments Submit
