This survey is intended to be used as a guide only. If you have any concerns regarding the health of your animal please contact us on 01834 860378. The contact information you provide will only be used in relation to this survey, it will not be used for marketing purposes.

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* 1. How active is your dog?

  Very playful Moderately playful Not playful at all
Is your dog playful indoors?
Is your dog playful outdoors?

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* 2. Does your dog find it easy to ascend or descend stairs?

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* 3. Can your dog get in and out of a car?

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* 4. Does your dog enjoy going on walks?

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* 5. Having rested following a walk, does your dog show signs of stiffness when rising?

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* 6. Does cold/damp weather impact your dog's mobility?

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* 7. Has your dog's behaviour changed in the last six months?

  Not at all Slightly A Lot
Seems more aggressive towards family members
Seems more aggressive towards strangers
Seems more aggressive towards other animals
Can be grumpy at times

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* 8. Has your dog's eating habits changed over the last six months?

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* 9. Has your dog's grooming habits changed over the last six months?

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* 10. Given your dog's age how would you rate its level of mobility?

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* 11. How old is your dog?

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* 12. How would you describe your dog's weight?

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* 13. What is your dog's name? 

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* 14. What breed is your dog?

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* 15. What is your name? 

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* 16. What is your email address?

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* 17. What is your phone number? 

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* 18. Please tick here if you are happy for the vets to contact you regarding this survey

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