Equine Behavior History

Animal Behavior Clinic, Box 25, College of Veterinary Medicine, Cornell University
Ithaca, NY 14853-6401
Dr. Katherine A. Houpt, Director 607-253-3450; Dr. Julia Albright 607-253-4350
Fax 607-253-3846
http://www.vet.cornell.edu/abc
email: vabc@cornell.edu

Please answer the following questions and send this form (mail/fax/email) back to us.  We shall then call to arrange an appointment.  Specific questions about the problem behavior(s) will be asked during your visit/telephone call.

General Information

Date:	_________________	Clinic #	_________________
Recorder:	_________________

Client's name:	_________________	Name of Horse:	_________________
Address:	_________________	Breed:	_________________
	_________________	Age:	_________________
Zip Code	_________________	Sex: ______	Color: _______
Home phone:	_________________
Work/Day phone:	_________________

Who is your regular veterinarian:

Dr.	_____________________________
Clinic Name:	_____________________________
Address:	_____________________________
	_____________________________
Phone:	_____________________________
Fax:	_____________________________

A. Main behavior problem

1. Chief complaint?
   
   
   
2. When did problem begin?
   
   
   
3. When does horse misbehave? How often and under what circumstances?
   
   
   
4. Has there been a change in the frequency of appearance of the problem?
   
   
   
5. What has been done so far to correct the problem?
   
   
   

B. Horse's environment:

1. Type of housing (stall, pasture, run-out shed)?
   
   
   
2. Diet?
   
   
   
3. Exercise (hrs per wk ridden, hrs per wk in paddock, type of bit used, martingale)?
   
   
   
4. Other horses in environment and relations between horses (friendly, aggressive, neutral)?
   
   
   
5. Other animals in environment?
   
   
   

C. Early history:

1. Why was horse obtained? Is it still used for this purpose?
   
   
   
2. Source of animal?
   
   
   
3. Age at weaning?
   
   
   
4. Age when obtained by present owner?
   
   
   
5. Were there previous owners?
   
   
   
6. Do related horses have similar problems?
   
   
   

D. Education:

1. Age at halter breaking?
   
   
   
2. Method of training to saddle or harness, age when training began?
   
   
   
3. Other types of training methods?
   
   

   driving

   jumping

   dressage

   games

   trail riding

   cutting

   
   
   

E. Other behavior problems:

1. Shying, how often and at what? Any other phobias?
   
   
   
2. Head shy?
   
   
   
3. Resentful of grooming?
   
   
   
4. Aggression towards humans or animals (dogs, cows, etc.)?
   
   
   
5. Aggression toward other horses (threatens, strikes, bites, kicks, chases)?
   
   
   
6. Misbehavior under saddle (circle appropriate behavior):
   
   

   moves while rider mounts,	backs in harness,	bucks,	rears,
   wants to lead or will only follow other horses,	runs away,
   slow to leave and quick to return to barn,	hard to keep on right or left
   other:

   
   
   
7. Barn vices (circle appropriate one):
   
   

   cribs,

   chews wood,

   paws,

   kicks stall

   
   
   
8. Sexual behavior: excessive, inadequate, abnormal?
   
   
   
9. Maternal behavior: excessive, inadequate, abnormal?
   
   
   

F. Physical history

1. Present medical problems?
   
   
   
2. Past medical problems?
   
   
   
3. Drug history?
   
   
   
4. Results of diagnostic tests?