Assistance Dogs Europe
Census Form for Year Ending 31st December 2006
Name of Organisation:
Year of Founding:
Key Contact:
Address:
Street:
Postbox:
Postcode:
City:
Country:
Telephone:
E-mail:
Website:
Number of Assistance Dogs
working
on 31st December 2006
Total number of Assistance Dogs
registered
by the Organisation since foundation
Total number of Social Dogs Visiting teams in AAA, AAE, AAT
Service offered by your organisation
Guide Dogs
Yes
No ~~~~ number working in 2006
Hearing Dogs
Yes
No ~~~~ number working in 2006
Service Dogs
Yes
No ~~~~ number working in 2006
Seizure Alert Dogs
Yes
No ~~~~ number working in 2006
Seizure Response Dogs
Yes
No ~~~~ number working in 2006
Medical Assistance Dogs
Yes
No ~~~~ number working in 2006
Other, please state:
Education and training for AAA, AAE and AAT teams
Yes
No ~~~~ number of teams active in 2006
Dog Assisted Activity Programmes
Yes
No ~~~~ number of programmes ongoing in 2006
Dog Assisted Therapy Programmes
Yes
No ~~~~ number of programmes ongoing in 2006
Dog Assisted Education Programmes
Yes
No ~~~~ number of programmes ongoing in 2006
Information about your organisation
Total number of Staff
full-time
Total number of Staff
part-time
Total number of Volunteers
Do you have a breeding scheme
Yes
No
Do you have a Puppy Socialisation Scheme
Yes
No
Do you have in House Socialisation
Yes
No
Number of Foster Families
Number of Puppies on Scheme
Do you work with Team Training for Clients
Yes
No
-- train the own dog of the client
Do you have a Residential Camp for Clients
Yes
No
So yes, how many weeks
Do you have an After Care Programme
Yes
No
Do you have a special key issue?
Thank you for completing this form
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