Team Profile Questionnaire

Team Profile Questionnaire
Please update your current information
I am a*

Therapeutic Dog Services Approved Team (pre 2019)I am a returning Approved TeamOther
What year did you commence with Therapeutic Dog Services Incorporated?
Today's Date*

DayMonthYear
Your Full Name*
Your Email*
Your Phone*
Address

Street Address

Street Address Line 2

CityState

Postal Code
Dog Profile
Below is a list of the test items that you and your dog are required to pass in order to be eligible for re registration with Therapeutic Dog Services, Therapy Dog Registry.
Dog's Name *
Breed*
Color(s)*
Health?*

SickInjuredObviously PregnantPossibly PregnantHealthy/appears healthyOther
Age*
Approximate age*

1-3 years (may have slight tarter especially on back teeth)3-6 years (has tartar on teeth)6-9 years (teeth look somewhat worn)9+ years (graying on face/muzzle, teeth worn, may have lots of tartar)
Approximate Weight*

15 lb or less (Chihuahua size)16-30 lb (Beagle size)30-45 lb (Australian Cattle Dog size)45 lb-65 lb (Springer Spaniel, Keeshond or Pointer size)65-80 lb (German Shepherd size)80-115 lb (Rottweiler size)116+ lb (Great Dane or St Bernard size)Other
Dog Temperament "On the Job" Questionnaire
Is your dog still accepting of friendly strangers?

YesNoOccasional issues
Is your dog showing any sign of resentment or shyness?
Is your dog siting politely for petting on the head and body?
Appearance and Grooming? Does your dog allow persons to inspect , comb or brush , touch the ears or feet.
Are you maintaining Nails. Nails must be clipped short and be rounded smooth to avoid scratching fragile skin.
Is your dog being walked on a short or long leash? Do you feel that your dog can turn left, turn right, about turn, stop and sit when asked?
Walking through a crowd does your dog move about politely in pedestrian traffic and is under control in public places?
Sit/Down on Command/Staying in Place. Your dog responds to your commands to sit and down, and will remain in the place commanded by you the handler.
Come When Called
On your visitations have you ever come across another animal or dog? What was your dogs reaction (should show no more than a casual interest in each other)
Reactions to Distractions? While visiting is your dog always confident when faced with common distracting situations or what is it that they don't cope well with?
Socialisation*

Sweet and socialA little shy but warms up when you're niceVery shyOther
How does this dog behave around men?*

Loves menA little bit shy/scared of menVery afraid of menFear biter around menOther
How does this dog behave around women?*

Loves womenA little bit shy/scared of womenVery afraid of womenFear biter around womenOther
How does this dog behave around children under 10 years old?*

Loves kidsToo energetic or rough for young childrenVery gentle with childrenSeems afraid of childrenFear biter around childrenMay growl or snap at childrenGrowls when child approaches food or toyOther
How does this dog behave around strange dogs?*

Runs up to them to playGreets appropriately (nose to tail sniffing)Stares the other dog down and may stiffen musclesSeems submissive or scared of other dogsWill show the other dog their side or back endTurns head away when the other dog stares at itNo sense of personal space, just gallops up to the other dog and expects the other dog to be fine with thatOther
How does this dog behave around other dogs and high value food, treats or toys? Check all that apply:*

Lets the other dog take it.Posture is relaxed, no muscles tensed.Stares the other dog down.Muscles tense when other dog approaches.Head goes down over the food/toy as other dog approaches.Gobbles the food faster.Growls at the other dog.Bares teeth at the other dog.Snaps/snarls at the other dog, clearly guarding the food/toy.As other dog approaches, this dog backs away from the food bowl.Seems very carefree and unconcerned about holding onto food or toys when other dogs are around.Has not been tested around other dogsOther
How does this dog behave around cats?*

Sniffs cat in crate but seems disinterestedSniffs free-roaming cat but seems disinterestedSeems a little scared of catsSeems interested in playing appropriately with catsThinks cats are chew toysAppears to have a prey drive wants to chase and harm cats. Very much NOT cat safe.Thinks cats are really fun to chase but if caught does not do any harm. Seems to be more about the chase than the cat.Not tested around cats, no cats here to test withThat cats feel safe enough to use this dog as a couchOther
Leash/Collar training?*

Freaks when you put a slip lead onFreaks when you put a collar onUsed to collar but not leashPulls strong on leashPulls a little on leashVery well leash trained, walks nicely on leashOther
Housebreaking training?

Marks indoorsPartially housebroken, but doesn't know how to tell you when needs to go outsideSolidly housebroken, will bark or pace or scratch door to go outsideUnknownOther
Fences?*

Needs a fence at least 4 feet highNeeds a fence 6 feet highCan climb fencesCurrently trained to invisible fencingOther
Car rides?*

Loves the car, rides great. Sits in back seatJumps right inNeeds help to get into car but likes to rideSeems unsure of getting into carFearful of the carDrools but does not vomit during ridesGets carsickSleeps during car ridesMust ride cratedVery hyper in carVery nervous, pants and whinesOther
Nail trimming?

Does great!Not bad, a little nervousPretty nervous, we have to do a few nails at a time and take breaksSeems not used to nail trims. Gets very stressed and needs training in this areaWe haven't tried to trim nails yetOther
Any additional comments regarding temperament that haven't been covered by the questions above?*
Any past or current health issues? Please describe and include treatment given if any.*
Required Documents
Please find requirements below, if you can not upload on your computer please email them to us at therapydogs@tdsinc.com.au with your name and the animal's name in the subject of the email.
Photo of you and your dog

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Certificate of vaccination

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Veterinarian Health Clearance

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Formal Training transcripts if applicable

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Your current police clearances

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Flue Vaccination

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Should be Empty:

Team Profile Questionnaire

Dog Profile

Dog Temperament "On the Job" Questionnaire

Required Documents