Section 1 - Owner and individual dog Information:

* 1. This question is with regard to consent to use the information contained in this study anonymously for research purposes (please select all consent boxes)

* 2. Address

* 3. Number of IWH owned?

* 4. Name and breed of the Dog for which this questionnaire is being completed:

If yes please enter registered name

* 6. Please give your dog's date of birth

Date / Time
/
/

* 9. Please enter the date of neutering if the answer was yes to the above question

Date / Time
/
/

* 11. Please enter your dogs current weight in kg (if known)

* 14. Which of the following best describe your dog’s temperament (you can choose more than one answer):

T