Pet Care Survey
The following survey has been created by Moses Ark Rescue and Sanctuary in order to better understand pet ownership and care for those who face various physical, mental health, medical, and cognitive limitations. These limitations include any diagnosed physical, cognitive, mental health, medical and psychological conditions. They also include any un-diagnosed difficulties someone faces that impacts their daily life. These limitations include lifelong conditions, acquired conditions, temporary limitations (i.e. recovery from surgery), and limitations that occur due to the natural aging process. If you are unsure if you fall within one of these categories, please complete the survey and describe the physical and cognitive limitations you face in the questions below.

Your responses to the survey will remain confidential and no identifiable information will be included in publication of the results. Responses to this survey will be used to inform pet care educational materials for people who face various limitations and challenges in their daily lives. Survey data and identifiable information will only be accessed by Moses Ark staff who comply with confidentiality regulations and will be stored on a secured hard drive in a secured office. By continuing with the survey you are indicating understanding and agreement to this confidentiality statement.

Please complete the following survey to the best of your ability. The survey calls for written responses to the questions in order to best understand your experiences and opinions. You can stop the survey at any time and skip any questions you do not wish to answer. If you do not understand the questions, you may describe your pet ownership experiences or wishes and any pet care barriers you face in an email (info@mosesarkrescue.com). Thank you for your participation!

If you have any questions, feel free to contact Alex at: info@mosesarkrescue.com
1. Do you have a physical or medical limitation that impacts your daily life? If yes, please describe:
Your answer
2. Do you have a cognitive limitation (for example, difficulty with your thinking, attention, ability to focus, memory) that impacts your daily life? If yes, please describe:
Your answer
3. Do you currently own a pet or have owned a pet in the past? If yes, please list your pets in the answer box. If you do your answer is no, please skip ahead to question 17.
Your answer
4. Have you given up a pet due to a medical condition? If yes, please explain
Your answer
5. Have you gone against medical advice because it would impact your pet? If yes, please explain
Your answer
6. Do you receive support from other people to care for you pets? If yes, please explain:
Your answer
7. Do you receive financial support to care for your pet(s)? If yes, please describe:
Your answer
8. Have you received support, training, or rehabilitation on how to care for your pet? If yes, please describe:
Your answer
9. Have you received support, advice, training, or rehabilitation during the process of selecting your pet? If yes, please describe:
Your answer
10. Have you used any adaptive equipment or technology to assist you in caring for your pet? If yes, please describe:
Your answer
11. What obstacles or barriers have you faced in caring for your pet? Please describe:
Your answer
12. What do you wish you would have known before adopting your pet? Please describe:
Your answer
13. What advice would you give to someone who is facing the limitations you have faced when adopting a pet and caring for it?
Your answer
14. Is there any support you wished you received from staff who care for animals or medical professionals in relation to pet care and your limitations?
Your answer
15. Have your health care professionals been understanding and supportive of you owning a pet? Please explain your answer
Your answer
16. Do you believe owning a pet has had a positive impact on your life? Please explain your answer
Your answer
17. Do you want to own a pet? If yes, which type(s) of pets are you interested in?
Your answer
Why do you want/don't want to own a pet? Please explain your answer
Your answer
18. What barriers do you currently face in relation to owning a pet? Please describe:
Your answer
19. Are any of these barriers related to your physical or cognitive status? Please explain your answer
Your answer
20. Do you have any concerns or fears about owning a pet? If yes, please explain
Your answer
21. Do you believe you would require support from others in caring for a pet? Please explain
Your answer
22. Would you like support in selecting a pet if it were available from staff who worked with animals or health care professionals? If yes, what would be helpful for you?
Your answer
23. Do you know of any resources available to you to help you adopt a pet and care for it both physically and financially? If yes, please describe
Your answer
24. What advice would be helpful for you in relation to pet care? Please describe:
Your answer
25. What are your biggest concerns in relation to adopting a pet and caring for it? Please describe:
Your answer
What is your age?
Your answer
What is your gender?
Your answer
What is your race/ethnicity?
Your answer
What is your employment status?
Your answer
What is the highest level of education you have completed?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy