Noise Anxiety Form

Help us help your dog by answering the following questions

(check all that apply):

Interpretation of the Score

Mild: Your dog only exhibits 4 or fewer of the 8 signs in questions 1 and 2

Moderate: Your dog exhibits 4 or more of the first 8 signs in question 1 and 2

Severe: Your dog exhibits any of the signs in questions 1 and 2 AND if you answered yes to question 4, 5 or 6