Training Log

Training Log

Use this form to track your training sessions. Use "Save" to continue your form later.
Your name*

First NameLast Name
Dog name*
Email (required to receive a copy of your response)*
example@example.com
Please select your dog's program type.*

Mobility Assist DogHearing Assist DogAutism Assist DogSeizure Assist DogDiabetic Assist DogFacility Dog
Date & time of training session

MonthDayYear
Date trained
Time of day trained MinutesAM/PM Option
How long was the training session?
Where was the training session located?

In homePlace of employmentSchoolOutdoor spaceOther
What cues and behaviors did you train? Check any that apply.

Automatic leave itCratingDurationGo matGrooming/HandlingEquipment/Get DressedLoose leash walkingRecallsSit/Down/StandUnder/ParkUp/OffTransportationOther
What Mobility Assist skills were trained? Check any that apply.

BraceButtonClean upCloseHelpLiftLightsRetrievesSnuggleTugVisitOther
What Facility Dog skills were trained? Check any that apply.

SnuggleVisitTriad walkingModelingBall gameRetrievesStim interruptionOther
Seizure Assist Training and Response Log
What Seizure Assist skills were trained? Check any that apply.

BraceButtonClean upCloseHelpLiftRetrievesReviving behaviorSnuggleTugVisitOther
Did a seizure occur?

No, just training!Yes
Please describe what your dog did before, during, and after the seizure.
Autism Assist Training and Response Log
What Autism Assist skills were trained? Check any that apply.

Anchoring/Cape stayBall gameClean upHelpRetrievesStim interruptionSnuggle/PressureVisitTricksOther
Was the child included in the training session?

Yes, we trained togetherNo, I trained without my child
Did the dog provide any response behaviors? (Stim interruption, snuggle, help, etc)

No, just training!Yes
Please describe what the dog did before, during, and after the response to your child.
Hearing Alert Training and Response Log
Use the log below to track your dog's response to sounds. Each row represents one sound response.
- Practice: Check if this was a response to a practice sound. Leave blank if a real-life sound occured.
- Alert Behavior: Select the behavior the dog used to alert you. If the dog did not alert, or you had to prompt the dog, use "Missed alert."
- Source sound: Choose what sound occured.
- Distance to sound: Record your estimate of how far away from the sound source you were, in feet.
- Handler location: Specify where you were when the sound occured, e.g. kitchen, garage, workplace, park, etc.
- Handler activity: Describe what you were doing when the sound occured, e.g. washing dishes, reading, sleeping, etc.
- Shown to source: Record how quickly the dog showed you to the source of the sound, if they were successful.
Use the "Notes" section to record your other observations. For example, were you or the dog distracted? What were the distractions? If the dog offered a false alert, how did you respond?

Notes
Diabetic Assist Training and Response Log
Use the log below to track your dog's response to low blood glucose samples or actual readings. Each row represents one response.
- Sample: Check if this was a response to a practice sample. Leave blank if a real-life low occured.
- Blood Glucose: Record the sample number used or the number from your glucose meter.
- Alert Behavior: Select the behavior the dog used to alert you. If the dog did not alert, or you had to prompt the dog, use "Missed alert."
- Handler location: Specify where you were when the low or practice occured, e.g. kitchen, garage, workplace, park, etc.
- Handler activity: Describe what you were doing when the low or practice occured, e.g. washing dishes, reading, sleeping, etc.
- False Alert: Check if your glucose reading was normal after an alert. Set your timer and recheck in 20 minutes.
- 20 min recheck reading: Note the glucose reading after 20 minutes.
Use the "Notes" section to record your other observations. For example, were you or the dog distracted? What were the distractions? If the dog offered a false alert, how did you respond?

Notes
What went well during your training session?
What will you work to improve based on this session?
Overall, how would you rate this training session?
Would you like a trainer to contact you for assistance?

Yes, please!No, thank you!
Should be Empty:

	Practice?	Alert behavior	Source sound	Distance to sound	Handler location	Handler Activity	Shown to source
Sound 1
Sound 2
Sound 3
Sound 4
Sound 5

	Sample?	Blood Glucose	Alert behavior	False alert?	20 min recheck reading	Handler location	Handler activity
1
2
3

Training Log

Seizure Assist Training and Response Log

Autism Assist Training and Response Log

Hearing Alert Training and Response Log

Diabetic Assist Training and Response Log