Institution:          Date:	Yes	Somewhat	No	Not Clear	Notes
1.	Does it appear that there is a clear commitment to animal welfare at the executive and management levels?	▪	▪	▪	▪
2a.	Are there written and comprehensive policies with respect to animal welfare?	▪	▪	▪	▪
2b.	If yes, please provide the policies.
3a.	Are there official welfare positions designated to the oversight of animal welfare?	▪	▪	▪	▪
3b.	If yes, please list their titles in the Notes section.
4a.	Is specific training in animal welfare conducted? If yes, please note how often it is conducted, for whom, and by whom in the Notes section.	▪	▪	▪	▪
4b.	Is advanced training in animal welfare conducted? If yes, please note how often it is conducted, for whom, and by whom in the Notes section.	▪	▪	▪	▪
4c.	How is the training evaluated and by whom?
5a.	Does the zoo have an animal welfare concern-reporting process?	▪	▪	▪	▪
5b.	If yes, please note who is responsible for the process oversight and
	coordination in the Notes section.
6.	Does the zoo have an acquisition, transfer, & transition policy that reflects commitment to the welfare of individual animals during the course of their lifetimes (e.g., prohibits transfer to situations that would compromise welfare)?	▪	▪	▪	▪
7.	Please describe the process by which your institution evaluates the
	impact of management practices on animal welfare.
8.	How does the environment (habitat) design and construction process				▪
	incorporate animal welfare considerations?
9.	How does species selection for the resident living population				▪
	incorporate animal welfare considerations (e.g., is the climate right,
	are the size and complexity of the environment right, is the social
	environment appropriate)?
10.	How are your conservation programs compassionate (e.g., how do				▪
	they incorporate animal welfare considerations)?
11.	After completing the full assessment of this facility, does it appear that the Individual Animal/Environment assessments support the Institutional Policies and Programmatic Structure Assessment?	▪	▪	▪	▪