The survey
is to be taken by those families and households who presently have at least one dog as a
current pet. The answers you provide should reflect this pet or pets. Other pets such as
birds, cats, ferrets, reptiles, etc. should not be reflected in the answers you give on
this questionnaire.
To see the results of a previous survey results & many options of tallying scores., please click here.
Please see
that only one person from each household participate in this survey. Circle one.
I am
UNDER THE AGE OF
18
I AM OVER THE AGE OF 19
All
surveys must be filled out during the given classroom period or time frame allotted and
NOT to be taken home or shared with others.
This
survey is NOT meant to be judgmental or critical of any person who is giving of their time
to help us to gather the information requested, so we do urge honesty in providing the
information we are seeking. Each question must be answered or the entire questionnaire
will be void.
Make NO
CHANGES, alterations or additions to the questions as they are posed. If they do not apply
to you at the present, please answer as you would if you were in that situation.
Answer ALL
questions.
Please
Circle the answer that best describes your present situation with regards to your pet dog.
1. Does
your dog sleep inside your house at nighttime? (garage does not count as
‘inside’ for this particular question.
A. Every
night
B. Occasionally,
depending on weather
C. Never
2. Do you have more than one dog presently?
Yes No
3. My dog is A. 5-20 # B. 25 – 50# C.
55-80# D. Huge
4. I/We originally adopted our dog as a
companion animal. Yes No
5. The dog was intended for our
child/children but they soon lost interest and did not follow up on their promise of
responsibilities in caring for or playing with the dog. Therefore, the poor dog just sits
alone in the back yard now. Yes No
6. Do you bathe your dog(s)
A. weekly
B. monthly
C. annually
D. never
7. How
often do you take your dog to the vet?
A. Every
six moths
B. Once
per year
C. Once
every 3 years
E. Only
when obvious medical attention is required
8. Is your dog currently up to date on
vaccinations? Yes No
9. Is your dog currently displaying some form
of identification or microchip?Yes No
9a. If your answer is no, please circle one
or more of the following.
A. My
dog never leaves the property and doesn’t need ID
B. My
dog always chews it off or looses his collars or tags
C. I’ve
just not gotten around to getting it done for him/her yet, but intend to.
10. Is your dog friendly with other people
when they come to your house? Yes No
11. Is your dog friendly with other dogs if
they should wander into your yard or come with a friend to visit? Yes No
12. I walk my dog A. Daily B. Once per week
C. Never
Keeping in mind this survey is completely
anonymous and will never reveal the participant and is not meant to be judgmental to those
who help us obtain this information, we remind you to do your best to select the
appropriate answer that most closely reflects your present situation with your dog.
13. In the past two years, with the fast
paced lifestyle Americans now face on a daily basis, divorces and extra curricular
activities of the youngsters and teens in your household, have you ever accidentally
forgotten to provide your dog with water or food on a given day? Yes No.
14. Do you socialize your dog with other dogs
for play and exercise? Yes No
15. I try to get my dog to a dog park or play
with other dogs
A. Frequently
B. Rarely
C. Never
16. Do you ever socialize your dog with other
people outside your household members? Yes No
17. Is your dog likely to bite a stranger who
comes to the house? Yes No
18. Is your dog apt to become excited and
seem vicious when approaching anther dog while on a walk? Yes No
19. Have your ever relinquished a dog to a
dog pound, rescue organization or another family? Yes, No
20. If a seemingly nice couple with a 13 year
old daughter approached your family and said they love your dog and offered you $100,
would you consider letting the dog go with them? Yes No
21. Does your dog bark a lot at night?
Yes No
22. Have your neighbors ever complained to
your or your local animal regulations about the barking? Yes No
22a. If the answer is YES, please circle one
of the following that best describes the steps
You took to correct the problem.
A. We
paid a fine
B. We
sought professional training for the dog to curb this action
C. We
did nothing, as the complaining party is being unreasonable
D. We
made the decision to give the dog away or take him to the dog pound to avoid further
problems with the neighbors or complaining parties
E. We
brought the dog inside the house at nighttime.
23. Does your dog jump on people when
approached? Yes No
24. Has your dog been to the vet within the
past 18 months for a regular check up? Yes No
25. Is your dog happy around children?
Yes No
26. Is your dog safe to be around children
with proper supervision? Yes No
27 Is your dog spayed or neutered?
Yes No
27a. If the answer is Yes, at what age was
the dog altered?
A. About
6 months of age
B. 18
months to 2 years of age
C. Before
we adopted him/her
If the answer is no, please circle the
closest description of your reasoning or circumstances which have prevented this from
taking place.
A. I/We
have not had the funds to do so.
B. I/We
wish to look into the possibility of having a litter of puppies
C. I
don’t feel it is necessary or normal to do this surgery
28. My opinion on having a litter of puppies
is that it is
A. Good
for the dog to have at least one litter
B. Ok
for some people to do
C. Not a
good idea at all
29. When going on vacation for 3-4 day
weekend, we usually
A Try to take the dog along with us whenever possible
B
Take the dog to a boarding facility or pay a licensed pet sitter to care for
him/her during
our absence.
C Leave it at home and ask a neighbor to check in on
it once a day
D Leave it outside and let the water run and provide
plenty of food for the
period we intend to be gone.
30. There have been occasions where I have
hit or spanked my dog to enforce the ‘rules’ of the household. Yes
No
31. On the occasion that I hit or spanked the
dog, I made him/her cry from the action Yes No
32. My feeling is that is the only way to
enforce the power structure when training a dog to understand who is in charge by using
physical force. Yes No
33 When my present dog dies, I will get
another dog. Yes No
34. When searching for a pet dog, I only
consider puppies. Yes No
35. When adopting a dog, I usually consult
some form of professional advice in regards to the proper care for this particular type
dog and it’s needs and future training tips. Yes No
36. The thought of adopting an adult dog from
the pound or rescue organization just does not appeal to me. Yes No
37. Dogs who have been turned in to the pound
or rescue groups must have something wrong with it and that is why I would not consider
one of these dogs. Yes No
37. I have adopted a dog from a pound or
rescue group in the past. Yes No
38. For your lifestyle, the thought of having
TWO dogs that are compatible in size and energy is simply not appealing to me at all for
the following reason
A Can’t afford to feed two
B I feel I can provide all the dogs needs myself
C It simply never works well in my opinion
D. I don’t feel my dog would tolerate
another in his/her territory
39. My feeling on having two dogs at once in
regards to the dog’s happiness and socialization is
A If you can afford it and have the room, it
would be ok.
B Don’t really see the need or any
benefits
40. If your dog was found to have an ear
infection which the vet quoted as costing $500 - $600 to correct, would you make the
decision to have it treated immediately? Yes No
If your answer is no, the reason would be
A Don’t have the money
B Don’t feel it is necessary or worth it
C Other
41. Providing that you somewhat agree to the following definitions of
the two words
provided, Please read
the following two definitions before answering the
remaining
questions.
"OWNER" is some one who
takes or has possession of a piece of property
such as car,
house, bicycle etc and has the right to do whatever
he/she pleases with this property.
"GUARDIAN’ is someone
who has adopted or is given custody of a child
or pet and is responsible for
providing the necessary elements for a
safe
and happy existence such as nurturing, food, water, shelter, love
and
appropriate guidance in life.
42. I feel I am the owner of my pet. Yes
No
43. I feel I am the guardian of my pet.
Yes No.
44. I feel that the appropriate
definition of which I am to and for my pet is decided by how I care for and treat my
pet. Yes No
45. I feel that is a good way to view the human pet relationship and will try to be
more like a guardian to my pet in the future.
Yes No
46. The age of my last pet upon his/her death
was A Young B. Middle aged C. Very Old
(if pet did not die in your care, circle the
one that would most closely match an educated guess)
47. The age of the oldest pet I’ve ever
been responsible for was
A 5-10 years
B 11-15 years
C Older
48. I’ve used paid professional dog
training for at least one of my dogs in the past. Yes No
49. I plan to seek some form of professional
guidance for the next dog I adopt. Yes No
50 When I transport my dog to and from
various destinations, I allow him/her to ride in the back of the pick up truck. Yes
No
51. When my dog accompanies me in the car,
he/she is restrained with appropriate safety measures to assure his/her safe arrival.
Yes No.
52 My dog(s) rarely even go outside the house
except to use the bathroom. Yes No
53 My dog has a doggy door or other means of
coming in and out of the house as he/she wishes. Yes No
54. My dog sleeps outside always, because
I/we
A. We
want a guard dog for protection of our property
B. We
simply believe he is happier outside rather than inside
C. We
intend to allow some ‘inside’ time for the dog, but have just not gotten around
to doing any training yet.
54a For
those who circled ‘A" on the previous question, have you ever obtained any
professional guidance or training for the ‘guard dog’ responsibilities.
A Yes the
dog is trained by a professional guard dog trainer
B No, we
just allow him/her to bark to notify us of any visitors
55.
My dog is chained up most of the time, as he/she will
A.
Jump the fence and escape without restraints
B. We
simply have no fencing and is thought to be our only option.
C. We
don't want our dog to tear up the yard.
D. Our
dog is never tied up.
56. . My dog does not have his/her current
vaccinations due to the following reason
A. Not
enough money at this time
B. Not
enough time to make the visit to the vet
C. It is
my belief that it is just not that important.
D. Does
not apply - my pets are current.
57. I would probably consider allowing my dog
to sleep inside the house at night time if he/she Was appropriately behaved and compatible
to my home and lifestyle. Yes No
58. I have had dogs who escaped my care and
were never again seen or heard from. Yes No
59. When training a new dog in the home,
there have been members of the household who have hit or kicked the dog during a strong
reprimanding. Yes No
60. I am really happy when I have a dog at my
side. Yes No
Please respond to only one of the following
questions from 61 to 63. Please locate the age appropriate question for yourself.
1. I am still in school and so far I’ve
had ___________ dogs in my lifetime.
2. I am between the ages of 25 and 40 and
have had __________ dogs in my lifetime.
3. I am between the ages of 45 and 65 and
have had __________ dogs in my lifetime.
64. My dog is just too stupid to be trained
like I would like, so I just never sought any professional help. Yes No
65. Although I’ve never taken a dog
training course or read an entire dog training guide book, I still feel I am qualified to
train a dog. Yes No
66. For a successful results in dog training
efforts, pretty much anyone CAN do a good job providing they have the following 3
important traits: (circle the three you feel are the most important and bring the most
success)
A. love
for the animal you are working with
B. a
definite plan in which to follow
C. Patience
of a saint and then some
D. Knowledge
of just how a dog absorbs the various forms of communications that we are providing
regularly.
E. Talent
to combine the love, patience, ability to work with the dog and to know when to reward the
dog and how.
F. Understanding
of what you are realistically trying to accomplish with this dog at this time
G. It would be
best for anyone who wishes to try and train a dog, to refer to a book or web site which
offers tips, ideas and suggestions from a professional who has had considerable successes
and experience in training jobs.
H. The
initial selection of the dog was actually thought out and discussed prior to our
acquisition, so as to assure the family that the new member would blend nicely with our
lifestyle.
I.
67. I personally feel very strongly against
families having a litter of puppies in their homes. Yes No.
68. I do not fault those who had an
accidental litter, such as a dog escaping or
getting lost or an intruding dog. True False
69. My
family had a litter of puppies at one time. Please circle the one that HONESTLY reflects the
steps you took when adopting out the puppies. (this really applies to all)
A. All the adoptive parties seemed to love
their new puppies, promised to take good care of him or her and we felt satisfied.
B. I had
presented each potential adoptee with an adoption agreement which included mandates for
feeding, sleeping and altering arrangements, dates, etc. If the adoption did NOT work out
with this particular party, the dog could only be brought back to me and upon visiting the
new home during the firs year, it also allowed for my removal of the puppy if the
situation was not what was agreed to.
C. does
not apply as we've never had a litter at all.
70. Regarding my answers to the
previous 68 questions, I could be pursuaded to make changes if it were shown to me
that my actions and/or current treatment of my pets could help reduce the number of
unwanted animals in the US.. YES NO
71. Knowing that he United States will kill
approximately 8 million adoptable pets this year, I certainly feel very strongly that this
and many other problems could be substantially improved with some form of humane education
in our nation’s schools. Yes No
============================================================================
That completes the survey and questionnaire. 21st Century Animal
Resource and Education Services appreciates the time you’ve given to fill out the
questionnaire and to provide us some information for our study. Randy Warner, founder of
21st Century Cares is on a mission to help schools in 40 states to form their
own humane education clubs for the students. Please visit our website at http://www.21stcenturycares.org to see his
tour schedule, guidelines and missions for the clubs, along with the information
he’ll deliver to the schools he and his dogs visit. If you live in one of the cities
he is planning to visit, or know of someone who does, please let Randy know. Local
contacts make a world of difference when attempting to gain access to our public schools
in today’s world.
If you participated in this study and
questionnaire and would like to see the results and score tallies, please send an email to
21stcares@citlink.net to request the results at
no charge. If you do not have email, please send a self addressed, stamped envelope to
Randy Warner PO Box 373 Dolan Springs, AZ 86441.