veteran B - IRISH WOLFHOUND HEALTH GROUP
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IRISH WOLFHOUND HEALTH GROUP
VETERAN STUDY - FORM B
Please complete this form in as much detail as you can remember for each hound you have owned/bred DURING THE LAST 20 YEARS who reached seven years of age or over before they passed away.
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.
Would you like your hound's details to be added to the IWHG Veterans’ Register?
Yes
No
If your hound reached 8 years of age would you like to apply to the IWHG LRP to receive a certificate acknowledging his/her longevity? See: http://www.iwhealthgroup.co.uk/iwhg-longevity-recognition-prog.html
Yes
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
Did your hound receive annual “booster” vaccinations?
Yes
No
If ‘no’ please state how often your hound was vaccinated and whether he/she was ever titre tested.
MEDICAL HISTORY
How often did your hound visit a vet during his/her lifetime, excluding vaccinations and boosters?
Never
Rarely
Occasionally
Quite often
Very often
Did your hound ever have a general anaesthetic?
Yes
No
If ‘Yes’ how many times and for what purpose?
Did your hound have any significant health issues at ANY time during his/her life?
Yes
No
If ‘Yes’ please give details and state whether long term medication was required.
ENVIRONMENT
Did your hound live indoors or in an outside kennel?
Indoors
Kennel
Did your hound live with any other dogs/animals?
Yes
No
If ‘Yes’ please give details.
FEEDING
How often a day did your feed your hound?
Once
Twice
Three times
Four times
Other
Please add any further information here:
What did you feed your hound?
Complete
Home made/cooked
Raw
Combination
Other
Please add any further information here:
Did you give your hound any supplements/vitamins/homeopathic treatments?
Yes
No
If ‘Yes' please give details.
ACTIVITIES
Did 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 did your hound have? (Please tick all that apply.)
Free running
Lead walking
Jogging with owner
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:
Did your hound travel regularly in a vehicle?
Yes
No
Did your hound ever travel abroad?
Yes
No
On average, how often was your hound left alone?
Never
Rarely
Occasionally
And how long for?
1 - 2 hours
2 - 5 hours
5+ hours
OTHER FACTORS
Was your hound ever destructive as an adult?
Yes
No
How would you have described your hound’s character? (Please tick all that apply.)
Shy
Out-going
Excitable
Calm
Energetic
Lazy
Affectionate
Reserved
How would you have described your hound’s physical condition after 7 years of age? (Please tick all that apply.)
Fat
Thin
Average
Muscular
Weak
Healthy
Quite healthy
In poor health
How would you have described your hound’s appetite after 7 years of age?
Very good
Quite good
Good
Quite poor
Very poor
How would you have described your hound’s level of activity after 7 years of age?
Very active
Active
Moderate
Inactive
How would you have described your hound’s level of activity when in his/her prime?
Very active
Active
Moderate
Inactive
Was your hound bred from?
Yes
No
If 'Yes' please give details.
Did any of your hound’s littermates reach 7 years or more?
Yes
No
Don't know
If ‘Yes' please give details.
What was your hound’s date and cause of death (if exact date not known, please state age at death)
YOUR DETAILS
Your name:
Address:
Email address:
Please provide any additional information here:
~ Thank you for your time in completing this survey ~
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