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Therapeutic Riding Pre-Test
Name
First
Last
Date
MM slash DD slash YYYY
Date of Birth
MM slash DD slash YYYY
1. How are you currently feeling? (or how happy/content are you currently feeling?)
Happy
Calm
Annoyed
Upset
Angry
2. What is your current level of pain?
No Pain
Mild Pain
Moderate Pain
Severe Pain
Unbearable Pain
3. How tired are you?
Not Tired
A Little Tired
Moderately Tired
Very Tired
Exhausted
4. What is your current level of stress?
No Stress
Mild Stress
Moderate Stress
Much Stress
Extreme Stress
5. How interested are you in participating in today’s activities?
Very Interested
Somewhat Interested
Neutral
Not Very Interested
Not At All Interested
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Support
Donate Today
Adopt or Sponsor A Therapy Horse
Volunteer
Ways to Give
Partners
Donate a Horse
About
Mission
Financials
Staff
Board of Directors
Horses & Farm Residents
Services
Benefits of Participation
Therapeutic Riding
Hippotherapy
Warrior Mission: At Ease Military Retreats
EASE (EAGALA EAP/EAL)
Corporate Workshops
Military Programs
Visits, Tours & Other Programs
Events
2024-25 Family Fun Days
Stirrup Hope 2025
HorsePlay – Post Event 2024
Colors of Courage – Post Event 2024
Stirrup Hope – Post Event 2024
Contact