TROT Pre-Assessment Horse Questionnaire

Could your horse be the right candidate for Therapeutic Riding of Tucson?

It takes a very special horse to make it into our programs. Our horses are hard-working with personality traits that make them great at what they do.

Consider these true/false statements to determine if your horse could be a right fit for TROT.

	TRUE	FALSE	UNKNOWN
My horse is 100% physically sound in all gaits (walk, trot and canter)
My horse is very tolerable of loud noises and changes in the surroundings
My horse is between 7-18 years old
My horse maintains their cool when surprised
My horse has some professional training experience
My horse is a comfortable mount with even gaits
My horse is comfortable with strangers and enjoys being around people
My horse can handle people on each side simultaneously
My horse gets along with other horses
My horse stops when a rider becomes unbalanced, and waits for the rider to regain control

**If you answered TRUE to MOST of the above statements, please continue TROT's pre-assessment form and we will reach out to you.**

Owner Information

First Name	Last Name
Phone	Email
Address Line 1	Address Line 2
City	State
Postal Code

Horse Information

Equine's Name

DOB

Breed

Gender

Color

Height

Weight

Reason for wanting to donate, sell, or have TROT lease this horse

How much rider weight can your horse comfortably hold?

Body Type

NarrowMediumStoutDraft

Movement

Quiet/smoothMediumActiveOther

Length of stride

LongMediumShort

Equine Location

Registration/Tattoo No.

How does your horse get along within a herd out in turnout?

Training History and Characteristics

In the past year, how often has this horse been ridden?

When was the last time this horse was ridden?

What type of bit was used for the ride?

What level rider foes your horse require? (check all that apply)

BeginnerNoviceIntermediateAdvanced

How does your horse rate on the following?

	Unknown	Poorly	Fair	Average	Good	Excellent
Stands quietly for grooming
Stands quietly for mounting
Handles the girth being tightened
Handles ongoing traffic
Handles going out on trails
Handles being loaded into a trailer
Handles being clipped/bathed
Manages being in a stall

	Never	Not Usually	Sometimes	Mostly	Always
Knows verbal cues
Is energetic
Is quiet in stalls
Reacts to sudden noises
Reacts to objects (i.e., umbrella, ball)
Tends to be "buddy or barn sour"

Thank you for thinking of TROT! If you have any further questions please contact Dora, TROT's Program Director, at dkafkaridou@trotarizona.org.

Contact Information

Vision difficulties	Heart difficulties
History of laminitis	History of navicular
History of colic	History of arthritis
History of ring bone	Circulation difficulties

Cribbing	Chewing wood
Weaving	Stall kicking
Pacing	Other

Arena work	Trails
Clinics	Lessons
Riding with a group	Riding alone
Other