Service Dog Evaluation Form
Complete this Service Dog Evaluation Form to assess a service dog's suitability, behavior, and task performance. Please answer all questions based on your direct observations.
Handler's Full Name
*
First Name
Last Name
Dog's Name
*
Dog's Breed
*
Dog's Age
*
Evaluation Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Evaluator's Name
*
Basic Obedience Assessment
*
Excellent
Good
Fair
Needs Improvement
Temperament and Behavior Notes
Task Performance Assessment
*
Performs all tasks reliably
Performs most tasks
Inconsistent performance
Unable to perform tasks
Overall Suitability for Service Work
*
Highly suitable
Suitable
Requires further training
Not suitable
Submit Evaluation
Should be Empty: