THE NORTHERN INUIT SOCIETY

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Health Survey

Our Society is committed to improving our records and ensuring that the Northern Inuit Dog is free from any potential health or behavioural problems. In order to keep our records updated regularly we need the help of owners. We would appreciate a few moments of your time to complete the following questionaire and to add any comments you may have at the end.

Details of your Northern Inuit *Sex
Male  Female  *Date of Birth NIS Reg No if known *Reg Name *Sire *Dam *Breeders Name or Affix *Microchip/tattoo No Health BVA Hip Score BVA Eye Test PRA/CEA Clear? *Is your Northern Inuit in general good health?
Yes  No  If NO please give details
Males Does your dog have two decended testicles?
Yes  No  If Yes, at what age was he entire? What age is your dog? Females Has your bitch had her first season?
Yes  No  If YES at what age? What age is your bitch? *Has your Northern Inuit ever suffered from any joint problems?
Yes  No  If YES what was the veterinary diagnosis?
Has the problem been resolved?
Yes  No  If still ongoing please give details
*Has your Northern Inuit ever experienced any digestive problems?
Yes  No  If YES please give details including what action was taken and what diet you feed your dog
*Does your Northern Inuit have any intolerance to any foods?
Yes  No  If YES please give details
*Has your Northern Inuit ever had a bad reaction to wormers?
Yes  No  If YES please give details
Which brand of wormer do you use? *Has your Northern Inuit had any bad reaction to vaccinations?
Yes  No  If YES please give details including which brand if known
Temperament *Is the temperament of your dog....
Excellent  Good  Fair  Poor  Bad  *How would you rate your dogs obedience?
Excellent  Good  Fair  Poor  Bad  *Is your dog good with people
Excellent  Good  Fair  Poor  Bad  *Is your dog good with children?
Excellent  Good  Fair  Poor  Bad  *Is your dog good with other dogs?
Excellent  Good  Fair  Poor  Bad  *Is your dog content to be left alone?
Excellent  Good  Fair  Poor  Bad  *How well does your dog travel in the car?
Excellent  Good  Fair  Poor  Bad  *Which word best describes your dog?
Outgoing  Bold  Laid back  Reserved  Timid  Nervous  If you have any concerns regarding your Northern Inuit or would like to add any comments, please use this text box

Your details

You may leave this section blank if you prefer.

Your Name Your Address Your email

The Northern Inuit Society would like to thank you for taking the time to fill out this health survey.

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