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SBT Cushings Survey
Owner’s name
e-mail address
Dog’s name
KC Reg?
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Sex
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Date when diagnosed (Years only)
Age of dog in years when diagnosed
Is the dog living
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What is the dogs age now, or was dog’s age in years when it died
Was Cushing’s the main cause of death
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If No to previous question, what was the cause of death
What variety of Cushing’s did the dog have?
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What symptoms did the dog show initially?
What treatment (eg name of medication), was given/no treatment given
What was the dog’s response to treatment
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Were there any side effects to treatment?
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If Yes to last question please give short description
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