AKC Model Breed Health Survey for Parent ClubsTOP

This is the Model Health Questionnaire for Parent Breed Clubs recently distributed by the AKC. Its purpose is to give breed clubs a way to collect information about the state of health in their breed. Several breed clubs have approached the AKC and expressed interest in using this internet-based software referred to in the Mini-Bull Terrier Breed Column in the AKC Gazette (May '98). As a result of this interest, this survey now collects data for additional breeds.

Information supplied here will be captured and converted to a standard data format. There it may be analyzed on behalf of participating breed clubs and/or made available to the club for its own analysis.

The survey is divided into the following basic sections:

  1. Some Info About You and the Breed
  2. Health Questions About Your Dog(s)
  3. Any Final Comments
  4. Submit Finished Survey

Simply, fill out the information in each section. Then at the end, just 1)SUBMIT the data. You will receive a confirmation message from us almost immediately.

For further info by email, contact: mailto:akcsurvey@healthydogs.com or Arliss Avalone, Breed Columns Editor @ AKCGazette


 

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Some Info about You and the Breed

This survey is anonymous but we do want to have your opinions and something about your involvement with this breed.

Highlight Your Breed: (REQUIRED !!!)

How long have you been in this breed? (highlight one)
 
 
Primary Interests (please check all that apply)
  • Breeder: Companion: Exhibitor:Field: Obedience:Agility: 
  • In which US State do you live? 
    How many dogs of this breed do you currently have living with you, if any?  
    In your experience, what is the average lifespan of the breed in years? 

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    Health Questions About Your Dog(s)

    Please tell us a bit about all the dogs - including healthy ones - you have owned within the past 5 years. You may enter as many dogs on this survey as you like. Please use the list of Disease Codes at left.

    Dog's Call Name

    Color:

    Male Female

    Born:

    month

    year:

    Age at Death,

    if applicable

    Cause of Death

    - NO DISEASE

       

    Disease Codes

    Age at Onset

    How / Who Diagnosed?

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    Comments Section

    Please list 3 Diseases, in order of importance, that you consider to be the most important in the breed (please use the codes on left wherever they apply):

    Comments / Remarks



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    GREAT!

    Now that you're done with this dog, go ahead and SUBMIT the data !

    Once again, we really appreciate you taking the time to answer the questions in this Breed Health Survey !!


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    KW@healthydogs.com.
    Copyright © 1998 All rights reserved.
    Revised: May 08, 2000.