Hoof It Forward Animal Visit Impact Survey
Share your feedback to help measure the impact.
Full Name
First Name
Last Name
Email Address
example@example.com
Date
-
Month
-
Day
Year
Date
Location visited
How did you participate in our program?
*
Participant
Volunteer
Staff
Other
How would you rate the overall impact of the program on you or your community?
*
1
2
3
4
5
Rate the following statements
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
The animal visit improved my mood today.
I felt happier after interacting with the animals.
The visit helped me feel more connected to others.
The animals encouraged conversation and social interaction.
The visit reduced feelings of loneliness or isolation.
The visit brought back positive memories.
I felt calm and relaxed during the visit.
The animal visit added enjoyment to my day.
I would like to participate in future animal visits.
Programs like this improve quality of life for residents.
What specific changes or improvements have you noticed as a result of this program?
Please share any suggestions or additional comments.
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