DOG ID #
|
10
|
TEST DATE
|
4/01/2014
| |||
TEST
|
Odor 2-Test IC: scent wheel
| |||||
DONOR ID #
|
ORIGIN
|
vanilla extract
| ||||
SCENT TYPE (saliva/spit/sweat/other
|
SEIZURE TYPE
| |||||
DATE of CAPTURE
DATE of HYDRATION |
TIME of CAPTURE (before/during/after)
| |||||
SAMPLE STATE (cotton/gauze pad/clothing/other
|
cotton ball
|
STORAGE CONTAINER (covered test tube/double bagged))
|
double bagged in Ziploc
| |||
SAMPLE CONDITION (frozen/refrigerated/room temp/other)
|
room temp.
|
SAMPLE ID
AGE when USED
|
Odor 2
Day 6
| |||
MEDICATIONS
| ||||||
SAMPLE SUMMARY
|
tested @ room temp
| |||||
SAMPLE SUMMARY & DIFFERENCES
| ||||||
INTENSITY (# of holes
|
13
|
13
| ||||
CONTAINER TYPE
|
glass salt shaker
|
glass salt shaker
| ||||
PRESENTATION (hand/surface/wheel)
|
wheel
|
wheel
| ||||
# of CONTAINERS
|
6
|
6
|
6
|
6
|
6
|
6
|
# of SCENT OPTIONS
|
1
|
1
|
1
|
1
|
1
|
1
|
REPS
|
10
|
10
|
10
|
10
|
10
|
10
|
% SUCCESS
|
100
|
100
|
100
|
100
|
100
|
100
|
COMMENTS
|
*1
|
*2
|
*3
|
*4
|
*5
|
*6
|
TARGET in #
|
1,1,1,1,6,
6,6,6,6,6 |
2,2,2,2,5,
5,5,5,5,5 | 3,3,3,4,4, 4,4,4,4,4 |
4,4,4,4,4,
4,2,2,2,2 |
5,5,5,5,5,
5,5,3,3,3 |
6,6,6,6,6,
6,6,1,1,1 |
EASE OF FIND
1 Very easy 2 Easy
3 Normal
4 Difficult 5 Very difficult
|
3
|
3
|
3 mostly,
4 on 4th rep |
3
|
3
|
3
4 on 6th rep |
TIME
| 2:08 |
2:08
|
2:13
|
2:05
|
2:05
|
2:15
|
Baseline Criteria Met: April 1, 2014
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