veteran A - IRISH WOLFHOUND HEALTH GROUP
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IRISH WOLFHOUND HEALTH GROUP
VETERAN STUDY - FORM A
Please complete this form if you own or have bred an Irish Wolfhound who is seven years of age or over and is STILL ALIVE.
Please use the text box at the end of the questionnaire for any additional information you think may be relevant.
By completing this form you agree to the IWHG using the data you supply to provide reports on the health status of UK owned or bred veteran Irish Wolfhounds. Your personal details will not be shared publicly and will only be used, in confidence, by the IWHG.
Please complete for each hound you own/bred who has reached 7 years or older.
Would like your hound's details to be added to the IWHG Veterans’ Register? See: http://www.iwhealthgroup.co.uk/iwhg-longevity-recognition-prog.html (None of your hound’s details will be shared publicly unless you tick this box.)
Veterans' Register - Yes
Veterans' Register - No
YOUR HOUND'S DETAILS
Registered name of dog (if your hound was from the IWRT or another rescue, then his/her pet name will suffice):
Pet name
Date of birth (dd/mm/yyyy):
Age when acquired:
Sex:
Male
Female
Breeder's name (if known)
Sire's name (if known):
Dam's name (if known):
Adult height:
Adult weight:
VACCINATIONS
Does your hound receive annual “booster” vaccinations?
Yes
No
If ‘Yes’ please state type of vaccines used if known:
If ‘no’ please state how often your hound has been vaccinated and whether he/she is, or has ever been, titre tested.
MEDICAL HISTORY
How often has your hound visited a vet during his/her lifetime, excluding vaccinations and boosters?
Never
Rarely
Occasionally
Quite often
Very often
Has your hound ever had a general anaesthetic?
Yes
No
If ‘Yes’ how many times and for what purpose?
Has your hound had any significant health issues?
Yes
No
If ‘Yes’ please state whether any are ongoing and/or requiring medication.
ENVIRONMENT
Does your hound live indoors or in an outside kennel?
Indoors
Kennel
Does your hound live with any other dogs/animals?
Yes
No
If ‘Yes’ please give details.
How often a day do your feed your hound?
Once
Twice
Three times
Four times
Other
Please add any further information here:
What do you feed your hound?
Complete
Home made/cooked
Raw
Combination
Other
Please add any further information here:
Do you give your hound any supplements/vitamins/homeopathic treatments?
Yes
No
Please add any further information here:
ACTIVITIES
Does your hound take part in any of the following activities? (Please tick all that apply.)
Showing
Obedience
Agility
PAT dog
Lure coursing
Other
Please add any further information here:
What kind of exercise does your hound currently have? (Please tick all that apply.)
Free running
Lead walking
Jogging with owner
Combination
Other
Please add any further information here:
And how often?
Twice daily
Daily
4 -5 times a week
2 -3 times a week
Other
Please add any further information here:
Does your hound travel regularly in a vehicle?
Yes
No
Has your hound ever travelled abroad?
Yes
No
On average, how often is your hound left alone?
Never
Rarely
Occasionally
And how long for?
1 - 2 hours
2 - 5 hours
5+ hours
OTHER FACTORS
Has your hound ever been destructive as an adult?
Yes
No
How would you describe your hound’s character? (Please tick all that apply.)
Shy
Out-going
Excitable
Calm
Energetic
Lazy
Affectionate
Reserved
How would you describe your hound’s current condition and health status? (Please tick all that apply.)
Fat
Thin
Average
Muscular
Weak
Healthy
Quite healthy
In poor health
How would you describe your hound’s appetite?
Very good
Quite good
Good
Quite poor
Very poor
How would you describe your hound’s current level of activity?
Very active
Active
Moderate
Inactive
How would you describe your hound’s level of activity when in his/her prime?
Very active
Active
Moderate
Inactive
Has your hound been bred from?
Yes
No
If ‘Yes’ please give details.
Are any of your hounds littermates still alive?
Yes
No
Don't know
If ‘Yes’ please give details.
YOUR DETAILS
Your name:
Email address:
Address:
Please provide any additional information here:
~ Thank you for your time in completing this survey ~
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