SS Testing Form





GOAL:
Establish scent viability

TESTING PROTOCOL:
Sample condition: test at room temp; refrigerate to preserve

BASELINE:  3 successive sets of 90%+ conducted on 2 subsequent sessions



DOG ID #
3
TEST DATE

TEST

DONOR ID #
3
ORIGIN

SCENT TYPE (saliva/spit/sweat/other

SEIZURE TYPE
status epilectus, tonic-clonic, complex partial
stDATE of CAPTURE
DATE of HYDRATION
08.19.2012
TIME of CAPTURE (before/during/after)
during, after
SAMPLE STATE (cotton/gauze pad/clothing/other
gauze
STORAGE CONTAINER (covered test tube/double bagged))

SAMPLE CONDITION (frozen/refrigerated/room temp/other)
rcvd @ room temp, stored frozen, thawed to room temp
SAMPLE ID
AGE when USED
Sample 1
Day X
MEDICATIONS
rescue Diastat
SAMPLE SUMMARY
tested @ roomt temp; stored XXXX
SAMPLE SUMMARY & DIFFERENCES



INTENSITY (# of holes
13
13
CONTAINER TYPE
glass salt shaker
glass salt shaker
PRESENTATION (hand/surface/wheel)


# of CONTAINERS
1
1
1
1
1
1
# of SCENT OPTIONS
1
1
1
1
1
1
REPS






% SUCCESS






COMMENTS
*1
*2
*3
*4
*5
*6
TARGET in #






EASE OF FIND
1 Very easy     2 Easy
  3 Normal
4 Difficult     5 Very difficult






TIME








BASELINE CRITERIA MET:  (Date)



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