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Small Animal Therapy Screening Questionnaire

 Our small but mighty animal therapy team is waiting to meet you!


To ensure a safe and positive experience for both our animals and guests, please answer the following questions. Your responses will help determine how to set up the session so you and the animals have the safest, most comfortable and of course, fun experience.

Birthday
Have you participated in animal therapy before?
Yes
No
Do you have any allergies to animals (e.g., rabbits, guinea pigs)?
Yes
No
What is your primary reason for seeking small animal therapy? (Check all that apply):
How comfortable are you around small animals (e.g., rabbits, guinea pigs)?
Are you open to holding or gently interacting with small animals?
Yes
No
Are there any specific triggers or fears (e.g., sudden noises, movement) we should know about to create a safe environment for you?
Yes
No
If yes, please explain
How do you prefer to engage in therapy sessions? (Check all that apply.)

Consent

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