Copy of Grooming Site Assessment Pet Shelter

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* 1. Disclaimer: Please note that completing our online assessment does not guarantee the delivery of no-charge grooming services. Our service delivery to the community will be based on the availability of funds and manpower.

Note: DO NOT ENTER COMMAS WITHIN ANY NUMERICAL TEXT BOXES ON YOUR ANSWERS. ALL QUESTIONS MUST BE ANSWERED. YOU CANNOT SAVE AND RETURN TO THIS APPLICATION AT A LATER TIME. 

Note: YOU CANNOT SAVE AND RETURN TO YOUR ANSWERS AT A LATER TIME, THEREFORE THE BEST WAY TO COMPLETE THIS ONLINE ASSESSMENT IS TO... 
         1) PRINT OUT A COPY
         2) GATHER YOUR ANSWERS
         3) RETURN TO THIS ONLINE VERSION AND FILL IN YOUR ANSWERS

Date

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* 2. Person filling out this survey

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* 3. Name and address of your Organization

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* 4. What year was your organization founded (an estimate is acceptable)?

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* 5. Estimated number of staff at your organization

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* 6. Estimated number of active volunteers

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* 7. Select each geographic area(s) served by your organization (check all that apply)

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* 8. Estimate the average number of non-duplicated animals served by your organization on an annual basis

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* 9. Of the total non-duplicated animals served annually, estimate the amount that lack access to regular grooming

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* 10. Rate the grooming condition of the animal population that you are currently housing

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* 11. Select the common grooming/hygiene problems you observe when interacting with the animals that you currently house

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* 12. Rank in order the common grooming/hygiene problems that you observe with "1" being the most observed and "4" being least observed (all items must be ranked)

  1 2 3 4
Unkempt hair
Uncut hair
Unclean hair
Body odor

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* 13. What type of grooming support services do your animals lack at this time

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* 14. Rank in order the services needed by the animals housed by your organization with "1" being the service most needed to "6" being the service least needed. (all items must be ranked)

  1 2 3 4 5
Haircuting Services
Grooming Products (shampoos, conditioners, etc.)
Grooming Equipment (electric hair clippers, nail clippers, brushes, combs, etcs.)

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* 15. Check any barrier(s) that your organization has concerning regular grooming services for your currently housed animals

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* 16. Rank in order your organization's barrier(s) to providing regular grooming services and products to your animals with "1" being the greatest barrier and "5" the least barrier. All items must be ranked (including "none")

  1 2 3 4 5
Lack of available funds to hire professional groomers
Unable to send animals to a proffesional groomer 
Unable to transport animals to a nearby grooming facility 
Lack of professional groomers within a 10 mile radius 
None

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* 17. If any, select any other organizational barriers to providing grooming services to your housed animal population. Check all that apply, then list any other barriers if applicable

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* 18. Rank in order what are your organization's barriers to providing grooming services to your animal population with "1" being the greatest barrier and "5" being the least greatest barrier. All items must be ranked (including "no barriers")

  1 2 3 4 5
Lack of technical assistance on how we can operate our own grooming area in our facility
Lack of funding to operate a full-service grooming area in our facility
Lack of available personnel to oversee a grooming area in our facility
Lack of trained onsite staff to provide grooming services 
No barriers

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* 19. Check what would be the increased benefit(s) to your housed animals if they receive regular access to grooming equipment, products and services(check all that apply)

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* 20. Rank in order those same increased benefits with "1" being the greatest impact to "7" being the least impact of regular access grooming  equipment, products and services to your housed animals. All items must be ranked (including "none")

  1 2 3 4
Animals will now have improved grooming and hygiene
Animals will now have maintained grooming and hygiene
Our organization will now have access to equipment and products that we are currently unable to afford 
None

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* 21. List any other way(s) that grooming serivces will benefit your organization's animal population (if there are no additional benefits place "N/A" in each textbox).

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* 22. Is there space to conduct the grooming services at your organization?
(at least 7' by 7')

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* 23. Does your organization allocate money in the budget specifically to provide grooming services to your housed animal population 

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* 24. What is the current range of your organization's annual budget

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* 25. As a condition of receiving grooming equipment and products from the RBCF, you organiztion must fill out a monthly online form that will measure the project's impact on your animal populations' current condition (12 month period).

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* 26. Would your organization like to...

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* 27. Does your organization have a volunteer program and/or volunteer coordinator?

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* 28. List the name, title, phone and email of the individual who can be assigned as a contact person for the RBCF

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