Public Access Challenge Report Form
Instructions for completing form
This short form has been developed as a voluntary and cooperative effort between the Foundation for Service Dog Support, Inc., and Handi-Dogs, Inc. The purpose of this project is to gain a clearer understanding of the numbers and types of public access challenges that are currently being experienced by service dog teams.

Please complete this form to the best of your ability. If a question does not have a choice that exactly describes your situation, please select the option that most closely describes your situation. The responses are anonymous, and we will monitor these responses to collect aggregate data. This data will be used to drive recommendations for changes, as well as public education efforts designed to improve the lives of service dog teams.

Thank you for taking the time to make a difference.

Question #1: What day of the week did the access challenge occur on?
Question #2: Approximately what time of day did the challenge occur?
Question #3: What type of training has your team received?
Question #4: Was your dog wearing anything to identify it as a service dog at the time that the challenge occurred?
This is not required by law, but many programs and/or private teams do provide identification.
Question #5: Do you consider your disability to be invisible?
Invisible disabilities are those that are not readily recognizeable by others, such as diabetes.
Question #6: What size is your dog?
Question #7: What was the nature of the business or public place in which the access challenge occurred?
Question #8: What type of access challenge did you experience?
Question #9: Was the manager summoned?
Question #10: Were the police summoned?
Question #11: Did you contact the State Attorney General's Office?
Question #12: Did you contact the ADA Hotline?
Thank you for taking the time to complete this form.
We appreciate your willingness to contribute to our understanding of this problem. Please know that your input will help us to make a difference.
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