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This form is designed obtain both nominal and ordinal data regarding Service Dogs, their diets, and health concerns. Results of this study will be disseminated by the researchers through professional publications, workshops, and the Internet. AT NO TIME WILL A SPECIFIC PROGRAM BE IDENTIFIED |
| About Our Program
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Program Name:
for research tracking purposes only |
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Please select the answer that best describes your service dog program |
| 1. We place/partner
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| 2. Our annual budget is
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| 3. 50% or more of our budget is provided by:
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| 4. We count a dog food manufacturer among our corporate sponsors.
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About Our Dogs' Diets |
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Please select the answer that best describes your service dog program |
| 1. The Service Dogs in our program eat:
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| 2. The diet our Service Dogs eat is:
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| 3. Puppy raisers with our program:
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4. After a team is partnered, consumers/clients
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About Our Dogs' Health |
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Please select the answers that best describe your service dog program. In this section, you may choose more than 1 answer. |
1. We test dogs for zoonoses
while they are in training
by asking the human partner to have them tested after they have been placed/partnered
never
other:
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2. The zoonoses we test for include
E.Coli
Campylobacter
Salmonella
other:
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3. We check dogs' oral health
while they are in training
by asking the human partner to have them tested after they have been placed/partnered
never
other:
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4. In order to maintain the health of our dogs, we
teach our clients/consumers to brush their partners' teeth
expect our clients/consumers to brush their partners' teeth
don't talk about oral health
other:
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I would like a copy of the results of this study when complete. |
| Your Name: |
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| Address: |
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