Canine Addison's Survey
This very brief survey will be used as a tool to collect information about Addison's medications to help owners & vets learn more about the doses of medications that keep our dogs feeling their best. CARE & Addison Dogs have joined together to publish this survey to help Addison's dogs throughout the world. If you would like to provide your email address in the survey, we will periodically send updates about the survey results.

If a question doesn't apply to your dog, skip that question & move on to the next one. If you have more than one dog with Addison's, you can fill out more than one survey. If your dog has since passed on, you can still fill out the survey & let us know what medications your dog had been taking.

If you have any questions, please contact us at info@canineaddisons.org. You can also visit our website at http://canineaddisons.org/. Thank you for your participation!

Your first name & last initial
Your answer
Your dog's name
Your answer
Dog's gender
Dog's breed or mix
Your answer
Dog's date of birth (or estimate if unknown) - if you have difficulty in any of the date fields, you can backspace to clear the entry & try again.
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DD
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Date of Addison's Diagnosis (or estimate if unknown).
MM
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DD
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YYYY
Type of Addison's
What does your dog weigh currently? Please specify lb or kg.
Your answer
If on Percorten, what is the dose in ml & how often is it given? Is it given IM (intramuscular) or SQ (subcutanous)?
Your answer
If on Zycortal, what is the dose in ml & how often is it given?
Your answer
If on Florinef of Fludrocortisone, what is the TOTAL daily dose in mg? For example, if you give 0.4 mg twice per day, the total daily dose is 0.8 mg. (There has been some confusion: We are NOT asking for the total number of tablets given per day.) If you're still adjusting the dose, please let us know.
Your answer
If on Florinef or Fludrocortisone, do you split the dose & give it twice per day?
If on Prednisone or Prednisolone tablets, what is the dose in mg & how often is it given? If you're still reducing the dose, please let us know. (For dogs on Florinef/Fludro, who don't need daily Pred, it's okay to report the amount of Pred & write "as needed" -- or write "daily" if that's what you do.)
Your answer
If on liquid Prednisolone, what is the dose in mg or ml, how many mg/ml, & how often is it given?
Your answer
If on a different drug, what is the dose & how often is it given?
Your answer
How is your dog doing overall, as it relates to his or her Addison's treatment? (If your dog has since passed on, please rate how your dog had been doing with his or her Addison's treatment.)
Optional - Has your dog switched from one medication to another? If so, please let us know the previous medication, dose, & frequency & the reason for switching. Or, if your dog was started on higher doses of the current drugs, let us know what the original doses were & what caused you to reduce.
Your answer
If there is anything you'd like to say briefly, please add it here. For example, some people use this space to mention other conditions, etc., or anything else of interest.
Your answer
If you'd like information on survey results, please provide your email address.
Your answer
Please press the Submit button below when you're all done. Thank you so much!
Your answer
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