Questionnaire : Walk Your Dog project by Bastyr University (hosted by RASKC)


 
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Section 1. Demographics

This part of the questionnaire will help us understand the characteristic of the people participating in our program. All personal information is strictly confidential.

Note: questions with asterisk (
*) require an answer
Response is required below.
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Please select at least no options.
Please don't exceed more than options.
*
1. Full Name
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2. Home Address
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*
3. Telephone number
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*
4. Email address
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*
5. Gender
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*
6. Age 
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Please don't exceed more than 40 options.
 

Questions about your new dog

Note: questions with asterisk (*) require an answer
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*
1. Name of dog:
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*
2. Breed:
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*
3. Age:
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*
4. Does your dog need any special care?
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5. If yes, what is it?
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*
7. Have you had your dog longer than 6 months?
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