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Canine Comfort Pet-Assisted Therapy Dog Application

Canine Comfort Application - Dog

Handler's Name(Required)
Is your pet already certified as a therapy animal?(Required)

About Your Dog

Sex of Dog(Required)
Spay/Neuter Status(Required)
Dog's Date of Birth(Required)
How did you acquire this pet?(Required)
Please check the qualities which best describe your pet's personality.(Required)
What type of people does your pet prefer to interact with?(Required)
Check all that apply.
Please check any groups your dog has BARKED at.(Required)
Please check any groups your dog has GROWLED at.(Required)
Please check any groups your dog has BARED TEETH at.(Required)
This field is hidden when viewing the form
Please check any groups your dog has BITTEN.(Required)
Is there any place on their body where your dog dislikes being touched?(Required)
I certify that my dog has never bitten any person (adult or child).(Required)

How Does Your Pet React When Meeting Strangers in Public?

Reaction when meeting unknown SENIORS in public?(Required)
Check all that apply.
Reaction when meeting unknown MEN in public?(Required)
Check all that apply.
Reaction when meeting unknown WOMEN in public?(Required)
Check all that apply.
Reaction when meeting unknown TEENS in public?(Required)
Check all that apply.
Reaction when meeting unknown CHILDREN in public?(Required)
Check all that apply.
Reaction when meeting unknown TODDLERS in public?(Required)
Check all that apply.
Please indicate which behaviors your dog typically displays when visiting NEW public places with low levels of activity and unfamiliar people and dogs.(Required)

How Does Your Pet React To Other Dogs?

Has your pet ever exhibited any of the following behaviors toward dogs?(Required)
Check all that apply.
What behavior best describes your pet's response to dogs?(Required)

Training and Behavior

Please check any items your pet currently display any fear reaction toward.(Required)
What type of equipment do you use when walking your dog?(Required)
Please check the box which best describes your dog's leash manners (how he/she pulls at the leash):(Required)