Hoof It Forward Impact Survey

Hoof It Forward Impact Survey

Share details of your visit and rate how it affected your mood, connection, and well-being.
Date of visit

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Location of visit
Animals visited
Session type
Please rate the following statements about your experience
The animal visit or session improved my mood today.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
I felt happier after interacting with the animals/horse.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
The visit helped me feel more connected to others.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
The animals/horse encouraged conversation and social interaction.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
The visit reduced feelings of loneliness or isolation.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
The visit brought back positive memories or stories.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
I felt calm and relaxed during the visit.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
The animal visit added enjoyment to my day.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
I would like to participate in future animal visits or sessions.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
Programs like this improve quality of life for residents, families, or children.

1

2

3

4

5

1 is Strongly Disagree, 5 is Strongly Agree
Optional comments: What was your favorite part of today's visit or session?
Should be Empty:

Hoof It Forward Impact Survey

Please rate the following statements about your experience