Therapy Dog Handler Assessment Form
Evaluate the readiness and suitability of a therapy dog handler for therapy dog visits with this comprehensive assessment form.
Handler's Full Name
*
First Name
Last Name
Handler's Email Address
*
example@example.com
Handler's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
How would you rate the handler’s ability to communicate clearly and effectively?
*
1
2
3
4
5
How would you rate the handler’s ability to manage and control their dog during visits?
*
1
2
3
4
5
Does the handler demonstrate professionalism and appropriate demeanor during interactions?
*
Always
Usually
Sometimes
Rarely
Handler’s experience with therapy dog visits
*
Please Select
No experience
Less than 1 year
1-3 years
More than 3 years
Please rate the handler on the following qualities:
*
Rows
Excellent
Good
Fair
Needs Improvement
Reliability
1
2
3
4
Empathy
5
6
7
8
Patience
9
10
11
12
Adaptability
13
14
15
16
Has the handler demonstrated safe and appropriate interactions with clients and staff?
*
Yes
No
Not observed
What are the handler’s strengths?
Areas for improvement or additional comments
Submit Assessment
Should be Empty: