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Annual Veteran Survey - 2024

Start

Annual Veteran Survey - 2024

Patriot Assistance Dogs places the highest value on the work we do in order to train our dogs to the utmost of standards so that our Veterans can get the support that they need from the dog. In return, one of the things we require from our Veterans, is to complete this annual survey.

This survey paints a picture of how you are doing with your service dog, and will allow us to better help you with your service dog. Completing this survey also allows us to see where we are exceling and what me may need to work on overall. This extends to Veteran's who brought their own dog into the program.

Name *

Phone #: *

Email: *

Address *

Dog's Name *

Dog's PAD ID Number
(This can be found on your dog's PAD collar tag, and on your paperwork and graduation certificate).

*

Has your dog learned new skills since completing class? *

Yes

No

If you answered yes, please list them.
(PAD service dogs are not to be trained for guarding, protecting, or enemy search.)

How often do you practice the dog's skills? *

Every day

Every other day

Three times per week

Once per week

Is your dog performing all of the skills they were trained to do? *

Yes

No

If no, which skills do they have difficulty performing for you?

Is your dog's behavior satisfactory to you? *

Yes

No

If no, please explain what they do that is not satisfactory:

What are the main skills that your dog is performing for you? (Select all that apply) *

Touch

Nudge

Interrupt Nightmares

Ground

Space Mitigation

Check-In

Find Outside

Interrupt Road Rage

Do you take your dog to restaurants? *

Yes

No

Do you take your dog to school or work? *

Yes

No

NA

Has your dog developed any health problems? *

Yes

No

If your dog has developed health problems, please describe the health problem:

How often do you take your dog with you for public access? *

4-7 days per week

1-3 days per week

Every other week

Monthly or less often

If you chose "every other week" or "monthly or less often" please explain why:

Have you ever been denied public access? *

Yes

No

If you answered yes in the previous question, where were you denied public access?

Is your dog always with you? *

Yes

No

If you answered no, in what circumstances is your dog not with you?

How often do you groom your dog? *

Once a day

Every other day

Once per week

Not often

If you answered "not often," please explain why

How often do you exercise your dog? *

Once a day or more

Every other day

Once per week

Not often

What kind of non-vested exercise does your dog enjoy?
Please note, shopping while vested constitutes working, not exercise.

*

Has your dog seen a veterinarian in the last year? *

Yes

No

What is your dog's current weight? *

Name of your current mental health provider? *

Phone Number of your mental health care provider? *

City and State of your mental health provider? *

When was your last visit with your mental health care provider? *

Do you have any questions or concerns that you would like to discuss with PAD trainers or staff? *

Yes (someone from PAD will contact you).

No

E-Signature *

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Annual Veteran Survey - 2024

Click Submit to finish.