Behavior History Questionnaire

I certify that I am the owner of the above-mentioned pet and that I have sought behavioral counseling for my pet for advice on decreasing its aggressiveness. I understand that aggression by animals can cause injury, including fatal injury, to other animals, to other people and to me. I understand that treatment for aggressive behavior is not a guarantee that the aggression will be successfully controlled, and that it is impossible to ensure that my pet will not cause harm in the future. I understand that the only way to absolutely ensure that my pet will never cause harm in the future is to euthanize it. I understand that if I do not euthanize my pet, it will be my responsibility to take appropriate precautions to prevent my pet causing harm to others. These precautions may include, but are not limited to, informing persons near my pet of its tendency for aggressive behavior, keeping it on a leash, muzzling it, using a head collar, and/or keeping it restrained behind doors, gates, or fencing. I also understand that, should I choose not to euthanize my pet and it causes harm in the future, I may be held liable for such harm. I hereby certify that I have read and understood the above and that I am signing this authorization with the full understanding that the treatment given my pet may not eliminate its aggressive behavior.