Lifespan on Cesky Fouseks
Please, fill in truthfully an information about your Cesky Fousek. The information helps us detect how is the breed doing in terms of longevity and health. The questionnaire is fully anonymous and obtained data will be part of a broader topic of Health status of Cesky Fousek breed which is currently being prepared at Faculty of Tropical AgriSciences at the Czech University of Life Sciences in Prague.
Sign in to Google to save your progress. Learn more
Email *
Name of the dog including a kennel name
Your nationality
Clear selection
Date of birth
MM
/
DD
/
YYYY
Date of death (or at least month and year if you are not sure)
Are you the first owner of the dog?
Clear selection
Was there a different owner of the dog before you got him?
Clear selection
Environment which the dog lived in
Clear selection
What was the most often housing of your Fousek? (you can choose multiple options)
Cause of death
If your dog was euthanized, what was the reason?
Clear selection
Health problems during the life of the dog (have you dog had some health problems - for example joint problems, infections, allergies, alopecia, heart condition, etc...if so, in what age?)
Thank you for your responses and if you like you can fill in your name as well. By sending this survey you agree on your data processing only for the evidence purposes. The results of this study are anonymous, there will not be used any specific names.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report