Introduction

What is this survey about?
Epilepsy is the most common chronic neurological brain disease in first opinion practice for domestic dogs. Diet is increasingly recognised as having an impact upon the seizure activity and behaviour of dogs with epilepsy. We are interested in the effects of diet on your dog’s epilepsy.
 
This survey will explore your dog's eligibility to enrol into our year long clinical trial investigating the long term influence of a medium chain fatty acid diet on canine epilepsy. Our decision about your dog will depend on current health status, clinical history and daily diet.
 
Why get involved?
Medical advances in prevention, detection and treatment of diseases in veterinary and human medicine depend on clinical trials. Clinical trials are essential to determine if a new test or treatment works and is safe. Our study is looking at the effects of a diet on their seizure activity and behaviour.

What we would like from you as part of the trial
1. A complete clinical history of your dog’s epilepsy.
2. Willingness to change your dogs diet for 1 year and keep a seizure diary.
3. You are able to make five appointments at the Queen Mother Hospital at the RVC in Hertfordshire at day 1, then 3, 6, 9 and 12 months later.

What do I get out of it?
1. A free veterinary check up with clinical and neurological examination at each appointment
2. Free clinical tests at each appointment including haematology, biochemistry, and serum AED levels
3. Free brain scan (MRI) if you adhere to the protocol
4. Free diet for you dog for the duration of the study
 
 
We are interested in the recruitment of dogs diagnosed with epilepsy. We invite owners of dogs with epilepsy aged over 6 months, of all breeds and cross-breeds to complete this survey. We are looking for dogs with recurrent seizures, but which have not had any history of cluster (more than 1 seizure in 24hours) or status epilepticus (prolonged seizure activity). If in doubt, please do fill in the questionnaire.
 
N.B. If you are selected for enrolment in the study we will contact you after completion of this survey using the contact details provided.
 
We would be grateful if you could complete the questionnaire, which is estimated to take 10-20 minutes. We very much appreciate your help in this study. If you have any queries regarding the questions asked or details of the trial, please contact the Clinical Investigation Centre at the RVC (cic@rvc.ac.uk)


Data Protection and Consent

The data collected in this questionnaire will be collated and stored at the Royal Veterinary College in London (RVC). Your completion of the questionnaire indicates your consent to provide us with the information requested and participate in this study. We would appreciate it, if you could give your contact details at the end of this survey, so that we can contact you.

Your data will be anonymised as appropriate.  Your data will be stored securely. 
Your personal information will be held and used in accordance with the Data Protection Act 1998 and will not be disclosed to any unauthorized person or body. 

Question Title

* 1. If you want to stay informed about our current work and future trials, you might want and are eligible to participate in, please tick "yes"

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