Match-Up II Manual - Center for Shelter Dogs

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SECTION 4: DOG'S WEIGHT (Please note: weight point must only be added if the dog receives points for aggressiveness or excitability.)Under 15 lbs.15-19 lbs.20-29 lbs.30-39 lbs.40-49 lbs.50-59 lbs.60+ lbs.-3-2-10+1+2+3SECTION 4: DOG'S WEIGHT TOTAL:SECTION 1: BEHAVIORAL HISTORY:SECTION 2: BEHAVIOR EVALUATION:SECTION 3: BEHAVIOR OBSERVED IN SHELTER:SECTION 4: DOG'S WEIGHT TOTAL:TOTAL TRIAGE POINTS:Dog’s Name: ___________________________ ID#____________ Date_________________Behavioral Triage Points Form 8 of 9
Triage Point Range Descriptions0-3 PointsThe dog exhibited few or no problematic behaviors and is likely to be a good candidate for adoption with routine screening and counseling.4- 20 pointsThe dog exhibited some problematic behaviors and is likely to be a candidate for adoption into a selected home. The dog may benefit frombehavior modification training in the shelter and/or problem-based behavior counseling.21+ PointsThe dog exhibited numerous and/or severe problematic behaviors and should be evaluated carefully in terms of adoption prospects in thecommunity. If it is decided to place dog the dog is likely to benefit from behavior modification training in the shelter and/or problem-basedbehavior counseling.Triage Outcome CategoriesPlease indicate your shelter's recommendation for the dog below:0 – 3 Points, No Aggression Noted:Suitable for adoption with routine screening and counseling4+ Plus Points or 0 - 3 Points with Aggression Noted:Suitable for adoption with routine screening and counseling, may have some restrictions.Suitable for adoption with problem-based behavior counseling required.Suitable for adoption with both behavior modification training and problem-based behavior counseling required.Suitable for adoption with behavior modification training, problem-based behavior counseling, and post-adoption counseling required.Suitable for interim placement into a foster home or training facility for behavior modification, followed by re-evaluation.Not suitable for adoption into a community (household) setting.Recommended Behavioral TrainingBased on the information entered about this dog from Behavioral History, Behavior Evaluation, and/or Behavior in the Shelter, thisdog may be a candidate for the following training programs:(check off all that apply)Jumpy/MouthyFood AggressionAggression to PeopleAggression when HandledAggression to DogsJumpy/MouthyFear of PeopleSeparation AnxietySpecific Environmental FearOther: ____________________________________________Other: ____________________________________________Manager/Behavior Department Comments:Manager/Behavior Department approval: ____________________________________________Date: ____________Behavioral Triage Points Form 9 of 9
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Match-Up II Manual - Center for Shelter Dogs

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