This completely anonymous survey is open to all Ibizan Hound owners worldwide.
Please tell your Ibizan-owner friends about this survey.
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Instructions
Please provide information on dogs you currently own and house at your residence, or
deceased dogs you have owned and housed.
* Please fill out a separate survey for each dog *
Once you complete and send in a survey, please do not send in another survey or
provide more information on the same dog.
questions? email us
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Dog Information
Dog's current age (or list year of birth if deceased)
Sex
Neutered or spayed? (If so, at what age?)
Dog's adult height and average weight
Food your dog is fed (write all that apply, canned, dry, home prepared cooked, raw diet)
The main meat ingredient in my dog's food is (chicken, beef, lamb, fish, etc)
How is your dog housed? (mostly inside my home, mostly outdoors, indoor/outdoor, kennel, etc)
How much exercise does your dog get each day?
If deceased, age at death
Cause of death or reason for euthanasia
Temperament
Describe your dog's temperament in new situations (outgoing, fearful, aloof, calm, etc)
Describe your dog's temperament at home
With strangers my dog is (friendly, aloof, aggressive, etc)
With other dogs my dog is:
Does your dog exhibit any temperament problems?
Health Conditions
Allergies list any known drugs, products, plants, foods, etc that your dog is allergic to
age at onset
Have health tests been performed in this area? If so, list results.
Anesthesia has your dog had a reaction to anesthesia?
Result?
Bite Is your dog overshot or undershot, have a cleft palate, any other bite problems? How many missing teeth does your dog have, or does your dog have full dentition?
Cancer Has your dog had cancer? If so, list where it developed and what type of cancer was diagnosed
age at onset
Have health tests been performed in this area? If so, list results.
Cardiovascular - Has your dog had heart arrhythmia, murmur, cardiomyopathy, failure, valve dysfunction, any other heart problems?
age at onset
Have health tests been performed in this area? If so, list results.
Dermatology - Has your dog had allergies, chronic staph infection, "hot spots", pigment abnormalities, Demodex, chronic fungus infections, cysts, tumors, any other skin problems?
age at onset
Have health tests been performed in this area? If so, list results.
Endocrine Has your dog had diabetes, Cushings Disease, Addisons Disease, Hypothyroidism, Hyperthyroidism, any other hormone condition?
age at onset
Have health tests been performed in this area? If so, list results.
Gastrointestinal Has your dog had chronic diarrhea, chronic vomiting, bloat, megaesophagus, pancreatitis, malabsorption syndrome, chronically thin/poor eater, any other gastrointestinal problems?
age at onset
Have health tests been performed in this area? If so, list results.
Hematology - Has your dog had Von Willebrand's Disease, Hemophilia (list type), low white blood cell count, other blood disorders?
age at onset
Have health tests been performed in this area? If so, list results.
Immune Disorders - Has your dog had lupus, arthritis, auto-immune hemolytic anemia, any other immune problems?
age at onset
Have health tests been performed in this area? If so, list results.
Infectious Diseases Has your dog had Lyme disease, Ehrlichiosis, West Nile Virus, Meningitis, or other infectious diseases?
age at onset
Have health tests been performed in this area? If so, list results.
Neurology Has your dog had seizures (list type if diagnosed), disc disease (list which vertebrae were involved), paralysis, wobblers, tremors, deafness, hindquarter weakness in older dog, dementia, Axonal Dystrophy, fly-snap syndrome, any other neurological problems?
age at onset
Have health tests been performed in this area? If so, list results.
Orthopedic Has your dog had arthritis, spondylosis, elbow dysplasia, hip dysplasia, Osteochondritis, Panosteitis, Patellar Luxation, HOD, ligament/tendon problems, any other muscle/bone problems?
age at onset
Have health tests been performed in this area? If so, list results.
Ophthalmic Has your dog had cataracts (list type), Corneal dystrophy, Progressive retinal atrophy, Persistent pupillary membranes, glaucoma, collie eye, other eye problems or unusual eye exam results?
age at onset
Have health tests been performed in this area? If so, list results.
Reproductive - female
At what age did your bitch first come into season?
How often are her seasons?
Has your bitch had vaginitis, pyometra, reabsorption of pups, abortion, c-section, uterine inertia, sterile, not enough milk for pups, mastitis, refused to nurse or care for pups, aggressive towards pups, any other reproductive problems?
age at onset
The following questions are for bitches that have been bred.
Age of bitch when first bred
# of live pups born; # of still-born pups in first litter
# of live pups at 2 months
Age of bitch if/when bred second time
# of live pups born; # of still-born pups in second litter
# of live pups at 2 months
Age of bitch if/when bred third time
# of live pups born; # of still-born pups in third litter
# of live pups at 2 months
Has your bitch been bred any other times?
How many pups were born with a hernia?
Have health tests been performed in this area? If so, list results.
Reproductive - male Has your dog had the following: monorchid, cryptorchid, will not breed, prostrate problems, abnormal semen, sterile, testicular atrophy (list cause), any other reproductive problems?
age at onset
Have health tests been performed in this area? If so, list results
Respiratory - Has your dog had any allergic respiratory conditions (list condition), pneumonia, any other respiratory problems?
age at onset
Have health tests been performed in this area? If so, list results.
Urinary Tract - Has your dog had stones, infections, kidney failure, incontinence, any other urinary tract problems?
age at onset
Have health tests been performed in this area? If so, list results.
Vaccines - What vaccines has this dog been given? List ages when each vaccine was given.
Medications - What medications is your dog on? (heartworm, seizure meds, allergy meds, etc)
Other conditions - list any other health conditions your dog has with any test results.
Mail survey to:
Lisa Puskas
PO Box 55145
Phoenix, AZ 85078-5145