Monitoring Your Dog’s Separation Anxiety Treatment

Sometimes behavior improves slowly, over time. This handy chart helps you see change as it happens.
Use the chart to track three different times that you leave your pet alone on the same day.
Client’s name:_______________________________________ Dog’s name:__________________________ Date: ____/____/_____
ABSENCE 1
What time How did you How long was What behavioral
did you leave? leave your pet? your pet alone? signs did you see?

…… Left free …… <5 mins …… None

Time: : am  pm …… Crated …… 5–10 mins …… Urination
Day: …… Confined in room …… 10–20 mins …… Defecation
…… Left outside in dog …… 20–30 mins …… Destruction
Date: _____/_____/_______ house or run …… 30 mins–1 hr …… Vocalization
…… Left outside in fenced area …… 1–2 hrs …… Salivation
…… Outside, free/unrestrained …… 2–4 hrs …… Other:
…… Other: …… 4–6 hrs
…… 6–8 hrs
…… >8 hrs

ABSENCE 2
What time How did you How long was What behavioral
did you leave? leave your pet? your pet alone? signs did you see?

…… Left free …… <5 mins …… None

Time: : am  pm …… Crated …… 5–10 mins …… Urination
Day: …… Confined in room …… 10–20 mins …… Defecation
…… Left outside in dog …… 20–30 mins …… Destruction
Date: _____/_____/_______ house or run …… 30 mins–1 hr …… Vocalization
…… Left outside in fenced area …… 1–2 hrs …… Salivation
…… Outside, free/unrestrained …… 2–4 hrs …… Other:
…… Other: …… 4–6 hrs
…… 6–8 hrs
…… >8 hrs

ABSENCE 3
What time How did you How long was What behavioral
did you leave? leave your pet? your pet alone? signs did you see?

…… Left free …… <5 mins …… None

Time: : am  pm …… Crated …… 5–10 mins …… Urination
Day: …… Confined in room …… 10–20 mins …… Defecation
…… Left outside in dog …… 20–30 mins …… Destruction
Date: _____/_____/_______ house or run …… 30 mins–1 hr …… Vocalization
…… Left outside in fenced area …… 1–2 hrs …… Salivation
…… Outside, free/unrestrained …… 2–4 hrs …… Other:
…… Other: …… 4–6 hrs
…… 6–8 hrs
…… >8 hrs