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Service Survey

THIS SURVEY IS ANONYMOUS - THE MORE DATA WE HAVE THE MORE WE CAN HELP!

How many adult caregivers are in your household?
How many children caregivers are in your household?
(Under 18 years old)
Age of Primary Caregiver:
Total Household Income:
My pet’s suspected or confirmed diagnosis is considered:
  • Orthopedic: arthritis, hip dysplasia, luxating patellas, post surgical, limb loss (amputee)
  • Neurologic: epileptic, degenerative diseases, paralyzed/paretic
  • Geriatric: incontinence, cognitive dysfunction, vestibular disease, mobility challenges
  • Other impairment: cancer, deaf, blind, diabetic, megaesophagus
Please describe your pet's condition.
  • {name}
Where do you currently board your pet?
Do you know of a boarding facility that is equipped appropriately and staffed 24/7 with trained professionals that can accommodate your pet’s needs?
If money were not an issue, how much would you be willing to spend for a pet boarding service facility equipped appropriately and staffed 24/7 with trained professionals specializing in pets with impairments of varying abilities to care for your pet?
Do you find yourself limiting vacations or time away from your pet because of their needs?
During the day, would you utilize a respite care/relief care facility for your pet?
Similar to a pet daycare but tailored to your pet's needs.
I would attend workshops or classes on the following topics:
Check all that apply.
  • Caregiving techniques such as bladder or bowel expression.
  • Fitting and use of assistive devices such as carts, harnesses, booties, diapers, etc.
  • Mental stimulation and enrichment techniques.
  • Massage, stretching and passive range of motion.
  • Support group consisting of other pet owners caring for pets of varying abilities.
  • None
What price range would you attend a class or workshop?
Have you had any concerns regarding the ability to groom your pet based on their physical limitation(s)?
Either by you or a professional groomer.
If you have any additional comments, or have any class, program, or service idea that you think is necessary for us to provide to pet owners, please share:
  • {name}

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