WHO WE ARE
HOW TO HELP
APPLY FOR A SERVICE DOG
SUCCESS STORIES
NEWS & REPORTS
RESOURCES

WHO WE ARE
HOW TO HELP
APPLY FOR A SERVICE DOG
SUCCESS STORIES
NEWS & REPORTS
RESOURCES

Monthly Assistance Dog Progress Report

Clients Home Page
Monthly Assistance Dog Progress Report
Vet Report

Monthly Assistance Dog Progress Report

Please complete on the 1st of each month.

Date

YYYY

Client Name

Phone Number

(###)

###

####

Dog Name

SECTION 1 - TRAINING

Watch

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Loose leash walking

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Dress

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Sit

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Down

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Stay

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Come

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Heel

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Side

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Here

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Car

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Kennel

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Wait

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Go in

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Go to bed

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Leave it

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Retrieves

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Tug

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Push

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Button

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Light

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Lap

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Off

0 = Not Used

1 = Excellent

2 = Okay

3 = Poor

Additional cues/tasks

Please list any cues or tasks that your dog has learned and rate your dog's responsiveness.

SECTION 2 - HEALTH

Please describe any medical care, routine or emergency, the dog has received since the last progress report (give dates of treatment). Are there any health problems now (skin problems, allergies, diarrhea, etc.)? If so, please describe. *

SECTION 3 - GENERAL BEHAVIOR

Please check any behaviors your dog is currently exhibiting

Housebreaking problems

Digging

Jumping on people

Destructive chewing

Excessive barking

Snapping/biting/growling at people

Begging

Stealing

Chasing cats or other animals

Territorial behavior

Shy/fearful behavior

Submissive urination

Forging on leash

Running away

Biting/hackle raising/growling at dogs

Toy or food possessiveness

General disobedience

SECTION 4 - TEMPERAMENT

Please rate your dog on the following temperamental qualities:

Activity level

Low

Medium

High

Assertiveness

Low

Medium

High

Reactivity to sudden sounds, movements or new situations

Low

Medium

High

Distractibility

Low

Medium

High

Chase drive towards animals

Low

Medium

High

Willingness to cooperate

Low

Medium

High

Describe your impressions of your dog’s temperament:

SECTION 5 - PUBLIC ACCESS

Please list the places you and your dog have been to this month.

Did you encounter any difficulties? If so, please describe:

Do you have any questions or concerns related to your dog’s training, health, behavior, temperament or access to public places?

How would you describe your partnership with this dog

Excellent

Good

Fair

Poor

FOR OFFICE USE ONLY

Reviewed by

Review date

YYYY

Follow up needed

Yes

Follow up date (if applicable)

YYYY

Follow up notes

Thank you!

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ABOUT US

Summit Assistance Dogs is a fully accredited 501(c)(3) nonprofit organization that creates life-changing partnerships by providing highly-skilled mobility-assistance dogs for people living with disabilities, giving them increased independence and renewed confidence.

CONTACT US

MAILING ADDRESS:
Summit Assistance Dogs
PO Box 699
Anacortes, WA 98221

(360) 293-5609
info@summitdogs.org

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Summit Assistance Dogs

Summit Assistance Dogs | PO Box 699, Anacortes, Wa 98221, USA

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