ALL IN THE FAMILY EQUINE-ASSISTED SERVICES
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Animal-Assisted Learning
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Questionnaire
(Please Note: filling out this form does not obligate you to complete a session but allows us to have a better idea of how best to serve you.)
Intake Questionnaire
*
Indicates required field
Client's Name
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First
Last
Contact Email
*
Are you interested in:
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Animal-Assisted Learning
EAGALA Therapy
What is your session preference:
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No Preference
Individual Session
Group Session--I have the group
Group Session--I am comfortable being matched with others with similar needs
Is there a particular goal you would like to work on? (Or any other information that you feel we should know)
*
Submit
Home
Animal-Assisted Learning
Equine-Assisted Therapy
Contact
Questionnaire