Animal-Assisted Therapy Feedback
Please share your experience to help us improve our animal-assisted therapy sessions.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Date of Therapy Session
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Animal Involved in the Session
*
Please Select
Dog
Cat
Horse
Rabbit
Other
How would you rate your overall experience?
*
1
2
3
4
5
Please rate the following aspects of your session:
*
Rows
Excellent
Good
Average
Needs Improvement
Therapist's professionalism
1
2
3
4
Animal's behavior
5
6
7
8
Comfort of the environment
9
10
11
12
Session structure
13
14
15
16
Did you feel comfortable and supported during the session?
*
Yes
Somewhat
No
What was the most beneficial aspect of the session for you?
Do you have any suggestions for improving our animal-assisted therapy sessions?
Would you recommend animal-assisted therapy to others?
*
Yes
Maybe
No
Submit Feedback
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