Questionnaire : Walk Your Dog project by Bastyr University (hosted by RASKC)
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Section 1. Demographics
This part of the questionnaire will help us understand the characteristic of the people participating in our program. All personal information is strictly confidential.
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1.
1. Full Name
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2.
2. Home Address
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3.
3. Telephone number
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4.
4. Email address
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5.
5. Gender
Male
Other
Prefer not to say
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6.
6. Age
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Questions about your new dog
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7.
1. Name of dog:
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8.
2. Breed:
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9.
3. Age:
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10.
4. Does your dog need any special care?
Yes
No
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