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* 1. Please let us know which country you live in?

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* 2. Have you been refused access to a public place because of your assistance dog in the last 12 months?

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* 3. If yes, how many times have you been refused access in the last 12 months?

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* 4. Have you experienced a refusal in a taxi or private vehicle (like rideshare) in the last 12 months?

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* 5. What other places have you experienced access issues within the last 12 months?

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* 6. Does your experience of access refusals make you consider any of the following actions? (Select the most relevant to you)

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* 7. Do you encounter scepticism regarding your dog’s purpose or legitimacy as an assistance dog?

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* 8. If yes, over time do you feel the questioning of your assistance dog's legitimacy has been a result of the increase of untrained assistance or emotional support dogs?

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* 9. Have you encountered interference (such as biting, lunging, snapping) from untrained assistance dogs, disrupting you and your dog from working safely.

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* 10. If yes to question 9, Where did you experience this?

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* 11. Do you think your rights covered by UN Conventions and Mandates are being upheld in your respective country?

https://www.un.org/development/desa/disabilities/about-us/our-mandates.html

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* 12. What do you believe will be the most effective form of systemic change to increase inclusion?

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* 13. What category of assistance dog are you partnered with?

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* 14. If you are open to being contacted in the future so that we may learn more about your experiences with assistance dogs, please fill out your contact information below (optional)

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