Questionnaire to evaluate the various risk factors in Irish Wolfhounds that may influence the development of Osteosarcoma, DCM and cruciate ligament injury and other health conditions

Section 1 - Owner and individual dog Information:

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* 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)

I understand that participation in this study is voluntary and that I may choose to no longer be part of the study at any time (without needing to provide reasons for doing so)

I agree that information I give during the study can be used in a report, a published paper or a conference or meeting presentation

I understand that the study is being conducted for the purposes of research.

I understand that I can request to see a summary of the findings, and I can also request to see any notes made during the process of my data collection.

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* 2. Address

Name

Address

Address 2

City/Town

ZIP/Postal Code

Country

Email Address

Phone Number

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* 3. Number of IWH owned?

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

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* 5. Is your dog kennel club registered?

If yes please enter registered name

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

Date / Time

Date

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* 7. What is the sex of your dog?

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* 8. Is your dog neutered?

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

Date / Time

Date

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* 10. Has your dog been used for breeding?

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

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* 12. Is your dog considered to be overweight by you or your vet?

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* 13. if you answered yes to the above question, please enter by how much

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

Aggressive and not approachable by other dogs and people they don’t know well

Can be unpredictable but generally fine with other dogs and people

Very friendly and mixes very well with dogs and people

Relaxed

Highly strung