Dog Public Access Test Evaluation Checklist Form
Use this form to evaluate a dog’s public access test readiness and record checklist results, observations, and final outcome.
Evaluator and Test Information
Evaluator Name
*
Organization or Handler Company Name
Dog Name
*
Dog Breed or Description
Test Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Public Access Checklist
Remains calm around people
*
Yes
Ignores distractions
*
Yes
Walks on a loose leash
*
Yes
Follows handler cues
*
Yes
Does not solicit attention
*
Yes
Does not bark or whine excessively
*
Yes
House-trained / appropriately relieved if applicable
*
Yes
Performance Rating and Observations
Overall Public Access Performance Rating
*
1
2
3
4
5
Notable Strengths
Issues, Corrections, or Incidents Observed
Final Outcome and Recommendations
Final Evaluation Result
*
Pass - Dog and handler are ready for public access
Fail - Additional training or retest is needed
Recommended Next Steps / Retest Notes
Submit Evaluation
Should be Empty: