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Registration/Observation Test

Handler Name:_______________________________________________________________
Dog's Name: ________________________________________________________________
Location of Test____________________________________Test/Observation Date: ____________

Handler Behavior
Was the handler in control of the dog at all times? Y_____ N_____
Was the communication between the two evident:
a. Did the handler correct the dog for poor behavior? Y_____ N_____
b. Was the dog praised for good appropriate behavior? Y_____ N_____
Did the handler arrive on time? Y_____ N_____
Was the handler neatly dressed/appropriately groomed? Y_____ N_____
Was the dog appropriately groomed? Y_____ N_____

Dog Handling:
Did the dog allow/enjoy petting of:
a. The Head Y_____ N_____
b. The Body Y_____ N_____
c. Holding the Tail Y_____ N_____
d. Holding the Paws Y_____ N_____
e. Holding the Ear(s) Y_____ N_____
f. Scratching the Throat Y_____ N_____
g. Scratching the Back Y_____ N_____
Did the dog bark at other dogs? Y_____ N_____
Was the dog interested in other dogs? Y_____ N_____
Was any sign of aggression demonstrated? Y_____ N_____

Dog Behavior:
Was the dog interested in people? Y_____ N_____
Did the dog bark at people? Y_____ N_____
Was any sign of aggression demonstrated? Y_____ N_____
Did the dog demonstrate a willingness to participate? Y_____ N_____
If excited at first, did the dog calm down and repond to the handler? Y_____ N_____
Did the dog become unresponsive? Y_____ N_____

Handler Behavior:
Did the handler demonstrate enthusiasm? Y_____ N_____
Did the handler make age appropriate conversation with person visiting? Y_____ N_____
Did the handler demonstrate a basic understanding of the facility operations? Y_____ N_____
Was the handler aware of patient's needs/injuries/disabilities or special equipment
and were they able to position the dog in an unobtrusive, accessible manner? Y_____ N_____
Did the handler respect patient confidentiality? Y_____ N_____
Was the handler aware fo the dog's needs? Y_____ N_____
Comments:_________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Applicant Team: Passed_______ Failed_______
Evaluator Signature:_________________________________________________________________________________
Evaluator Name (please print):___________________________________________________________________________________
Applicant Signature:________________________________________________________________________________
Applicant Name (please print):___________________________________________________________________________________



38 Garden Rd.
Scituate, MA 02066
(781) 264-5537
dogbonestherapydogs@comcast.net