Application Forms

USA Therapy Dogs Pre-Screening Questionnaire

This form is designed to help us better understand your dog’s background, behavior, and potential to become part of the USA Therapy Dogs team.

Name

First Name

Last Name

Phone

(###)

###

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The Questionaire

Why do you want to become a certified USA Therapy Dog team?

Describe your dog's social skills and behavior from puppyhood to now:

How does your dog interact with different types of people (children, adults, elderly, etc.)?

Has your dog ever been quarantined or involved in an incident requiring isolation? If yes, please explain:

What areas of training do you think your dog needs to improve on to become a successful therapy dog?

Does your dog have any history of health issues? If yes, please provide details:

What type of diet do you currently feed your dog?

How many hours per year are you able to volunteer with your dog as a therapy team?

Do you have any additional questions or comments for us?