Personal Dog Reference Form
Please have a friend or family member who is familiar with your dog complete this form. All answers will remain confidential.
Email *
Your Name: *
Your Address: *
Your Phone Number: *
Today's Date: *
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Do you presently live with this dog? *
Do you think this dog is a good candidate to become a Service Dog with full access in public places, in close proximity to strangers, in possibly high stress environments? *
Please explain your answer from question #2, explaining why you do, or do not, think this dog would be a good candidate for Service Dog training. *
How do you think this dog will respond to sudden unexpected events, such as loud noises? Please use examples of behaviors you have observed from this dog that support your answer. *
How would you describe this dog's personality? *
How would you describe the relationship between the dog and their handler? *
How long have you known the handler? *
How long have you known this dog? *
What are some of this dog's personality qualities you have observed that benefit the handler? *
Describe some qualities in the relationship between this dog and handler that cause you to believe they would be able to participate in a year-long, self-directed training program. *
How would you describe the teaching and disciplinary approaches you have observed the handler use in response to this dog? *
What sorts of responses to other dogs have you observed from this dog? *
What sorts of responses have you observed from this dog toward other animals (besides other dogs)? *
What sorts of responses from this dog toward people other than the handler have you observed from this dog? *
Is there anything else you would like to share, specific to your recommendations regarding training this dog to be a Service Dog? *
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