Animal Handler Motion Response Form
Evaluate and document animal handler responses to various animal motion scenarios.
Handler Full Name
*
First Name
Last Name
Handler Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location or Facility Name
Years of Experience Handling Animals
*
Animal Type(s) Handled
*
Dogs
Cats
Horses
Livestock (Cattle, Sheep, etc.)
Exotic Animals
Other
How confident are you in responding to sudden animal movements?
*
Not confident
1
2
3
4
Extremely confident
5
1 is Not confident, 5 is Extremely confident
For each scenario, indicate the most appropriate response:
*
Rows
Your Response
Animal suddenly bolts or runs away
1
Animal unexpectedly freezes in place
2
Animal displays aggressive body language
3
Animal begins circling handler rapidly
4
Animal attempts to escape enclosure
5
Select your response for each scenario below:
*
Rows
Stay calm and assess the situation
Attempt to physically restrain the animal
Use vocal commands or cues
Seek assistance from others
Animal bolts suddenly
6
7
8
9
Animal freezes
10
11
12
13
Animal shows aggression
14
15
16
17
Animal circles rapidly
18
19
20
21
Animal escapes enclosure
22
23
24
25
Rate your ability to recognize early warning signs of animal agitation.
*
1
2
3
4
5
What additional strategies do you use when responding to unexpected animal movements?
Please provide any additional comments or feedback regarding animal motion response.
Submit Assessment
Should be Empty: