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Are you Male or Female?
 
Male
 
Female
 
 
What is your age group?
 
Less than 18 Years old
 
18-30
 
30-45
 
45-60
 
Over 60 years old
 
 
Are you a student?
 
Yes
 
No
 
 
Do you own a pet or have you ever owned a pet?
 
Yes
 
No
 
 
How long you have been involved Animal-Assisted Activities?
 
1-3 Months
 
3-6 Months
 
1 year
 
More than a year
 
 
What is the reason that made you seek AAA?
 
Depression
 
Loneliness
 
Stress
 
Anxiety
 
Other ___________________
 
 
What animal you like to work with in AAA?
 
Cat
 
Dog
 
Horse
 
Other_______________
 
 
If the reason you sought AAA for was Stress/Depression/Anxiety/Loneliness,  Have you observed improvement?
 
Yes
 
No
 
How would you rate the improvement?
Psychological well-being
 
 
Have you considered owning a pet after you have tried AAA?
 
Yes
 
No
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