Health and Temperament Survey

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Please complete the form as accurately and honestly as you can - if you do not wish your own personal details to be included you may omit this part of the form and send it anonymously.   The important thing is for us to have a complete picture of the Northern Inuit Dog and Wolf Lookalike breed population.   If the health situation for your dog changes at any time in the future you may complete a new form in order that we may be kept up to date.    Thank you for your help.

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Registered Name:
Registered Number:
Pet Name:
Date of Birth:
Sex:
Sire`s Name & Registered Number:
Dam`s Name & Registered Number:
Is your NI in general good health?
If no, please give details:
If no, have you contacted the breeder?
Please give details of outcome:
If male, does he have two fully descended testicles?
If yes, at what age?
If female, has she had her first season?
If yes, at what age?
Has your dog been neutered / spayed?
If yes, please give details to the reason why?
Has your dog ever had a bad reaction to a wormer?
If yes, which brand was used and what happened?
Has your dog ever had a bad reaction to a flea treatment?
If yes, which brand was used and what happened?
Has your dog, ever had a bad reaction to a vaccination?
If yes, which vaccine was used and what happened?
Has your N.I. ever suffered from joint problems?
If yes, what was the veterinary diagnosis?
Has the problem been resolved?
BVA hip Scored?
If yes, BVA Hip Score:
BVA Eye Test?
If yes, were they PRA/CEA clear?
What food do you usually feed your N.I.?
Does your N.I. have an intolerance to certain foods?
If yes, please give details:
Would you describe your NI as: Nervous
Timid
Reserved
Laid Back
Bold
Outgoing
Temperament: Excellent
Good
Fair
Poor
Bad
Obedience: Excellent
Good
Fair
Poor
Bad
Good with people? Yes
No
Indifferent
Good with children? Yes
No
Indifferent
Good with other dogs? Yes
No
Indifferent
Good with other animals? Yes
No
Indifferent
Content to be left alone for short periods?
Travels well in the car?
Any additional comments:
If you have had problems, can we contact you?
Your Name:
Email Address:
Address & Telephone No:

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