Gotcha Equine Symptoms Survey
What breed is your horse?
Location of your horse/s
Town or Suburb, and State
eg Pleasure Riding
How long have you owned or leased this horse?
How many other horses graze the same pasture as this horse?
Are any of the other horses on the same pasture showing health or behaviour problems, please list other horses problems.
Have you ever had a horse die or euthanised? If so why?
Does your horse exhibit (past and present) any of the following behaviours?
Excessive aggressiveness towards you or other horses
Unwilling to be touched or tenses up and quivers when touched
Very girthy (cinchy)
Uncharacteristic bucking when saddled or when first moves off
Crancky when ridden, pins ears back, swishes tail
Very tense, erratic, tries to bolt off or constantly go too fast
Bites themselves (flank, girth, chest etc)
Tries to bite you while brushing them
Reaching around to bite the girth or you while riding
Ear shy or scabs on ears
Turns away when approached / hard to catch
Excessive herd bound
Fence walks and is generally very agitated
Sucking back, unwilling to move forward and appears lazy when ridden
Leaning on your leg under saddle
Can't cope with pressure
Can't concentrate (like ADHD)
Hops or raises a back leg up higher at the start or end of trotting out
Racing around the paddock for no reason
Pig roots or bucks in canter transitions
Spaced out, doesn't appear to know your there
Violent bucking fits
Very difficult to float load and or very nervous while traveling
Very unsettled when ridden with groups of horses or at events
Jerks back leg up when asked to lift up hoof
Flinching when nails go in whilst shoeing
Does not like holding up back legs
Licking or eating dirt
Licking wire or iron gates
Doesn't like being rugged
Doesn't like chest strap being done up on rug
Kicking out at nothing
Kicking out when asked to move forward
Head Flicking or shaking
Has your horse ever displayed any of the following physical signs at any time?
'Clicking' or noisy joints
Uncoordinated movement, Staggers, giving out in the hind quarters (weak behind)
Appears lame in hind leg (over night)
Stepping short after it has rained
Twists back fetlocks at the walk
Appears hoof sore after rain (autumn)
Appears very hoof sore most of the time and may stand rocking weight from one front foot to the other(Subclinical Laminitis)
Difficulty walking down hill
Very heavy on the forehand and/or stumbles a lot
Drags hind toes
Stepping short in front or/and behind most of the time
Can't walk freely
Can't trot freely
Can't canter freely or/and can't pick up correct lead or swaps leads behind
Has trouble with gait transitions (eg. trot to canter)
Stands 'camped out' behind or standing base wide
Resting hind legs a lot
Tight, hard muscles
Excessive puffing when worked
Difficulty breathing or laboured breathing
Has your horse ever exhibited any of the following abnormalities, ailments or illnesses?
Loose teeth (under the age of 25 - not including shedding milk teeth 2.5 - 4.5 years old)
Failed to grow to full height
Obstruction in nasal passage
Anaemic blood results
Acidosis blood results
Bloated, barrel belly, pot belly
Bony enlargement on front of face, or above eyes
Swelling of the jaw bones
Mud fever or greasy heel
Excessive sweating or in unusual places e.g.. top of rump
Obesity, pads of fat above tail and top of shoulders, very crested neck
Trouble dropping weight even on diet
Puffy around eye and/or sheath
Swellings in legs
Swelling under the belly
Swelling on cheeks and/or under the jaw
Swollen thyroid (slight back from throat latch)
Red blood spots in white line of hooves
Pale or tacky gums
unexplained muscle wastage
Diarrhoea, squirty manure or excess gas
Mucous in manure
Small, frequent manure
Very noisy gut
Ill-thrift, no top line, difficult to keep weight on
Oedema on chest
Mane or/and tail falls out easily
Extremely itchy skin (scratch some times until bleeds)
Looses hair eg. on face and ears
Rain Scald (dermatophilosis)
White hair flex suddenly appear
Weak cracked hooves
Persistent seedy toe
Very rump high when growing
Ulcers in the mouth
Sores inside nose
Sores on gums
Has your horse ever displayed the following
Lays or sits down a lot, possibly at odd times (e.g. in the rain or in direct very hot sun)
Lays down within 10-20 minutes after eating hard feed.
Trouble getting up off the ground
Bouts of colic
Colic associated with being worked
Stress or fright induced colic
Intermittent lameness (lame one minute and fine the next) or shifting lameness
Swollen and/or heat in Joints
Reduced or gone off eating hay
Extremely hungry all the time
Staring out at things not there
Urine killing grass
Strong smelling (ammonia) urine
Dark coloured urine
Standing off alone, looks depressed (head down)
Standing in one place for most of the day
Falling asleep on their feet when they should be awake
Photophobia (Can't stand light)
Tight sore muscles
Constant Sacroiliac problems
Difficulty with saddle fitting
If this survey is regarding a mare of filly, does she display any of the following?
Lactating when not in foal
Excessive squealiness/ marish behaviour
Ovulation pain which may also cause them to lay down (every 21 days)
'In season' all year round
Difficulty getting in foal
Acting like a stallion
Suspected ovarian cysts
Very aggressive and unable to be ridden or compete when in season
Do you suspect other health issues not yet identified?
Have you noticed if any symptoms are seasonal and if so when?
List the symptoms that occur during the season you have indicated above, and how you manage them.
How often and for how long is your horse worked per week?
How is your horse kept?
Paddock and yard at night
Paddock and stabled at night
Stabled full time
Yard or small paddock full time
What hoof care regime to you use?
Bare foot (trimmed every 3-4 weeks)
Bare foot (trimmed every 5-6 weeks)
Bare foot (trimmed every 6-8 weeks)
Shod every 6 weeks
Shod every 6-8 weeks
Has your horse ever suffered an injury due to the bad behaviours identified in this survey?
Have you ever suffered any kind of injury due to the above behaviours?
Which of the following have you also used as part of your investigation in to issues
Veterinary / blood test
Physio or Chiropractor
What have you found that has helped your horse's problems so far?
What type of pasture is your horse grazing?
Brown Top (Bent Grass)
Cocksfoot (Orchard Grass)
Brome (Rescue Grass, Soft or Meadow Brome)
Native Grass Mix
Purple Pigeon Grass
Other oxalate grasses not in this list
Other grasses not in this list
What weeds are in your horses pasture?
Mother of millions
St. John's Wort
Pig weed (red leg pig weed)
What trees over hang your pasture fence or grow in the paddock?
Black bean trees
White Cedar trees
Red Maple trees
What source of water does your horse/s have access to full time?
Dam or River Water
Do you own the property where your horse resides or do you lease or agist?
Lease / agist
When was the pasture last fertilised?
When was the pasture last re-seeded?
If your pasture has been fertilised and/or re-seeded please list with what and fertiliser brand name, plus how frequent.
What is your farming method?
What grazing method do you use?
Rotate paddocks when paddock is eaten out
Rotate paddocks every 20-30 days
Don't rotate paddock
Track system (Paddock Paradise)
What tests have been conducted
Forage (grass) test
Hair Lab test
What is your manure management method?
Pick up manure
Leave where it is
When was your horse last de-wormed?
Besides grass what other feed and hay make up your horses diet?
Do you currently supplement your horse and if so with what?
From the survey results would you like to receive product and dose rate recommendations for you horse via email?
Would you like to receive news updates via email?
Your Full Name:
Your contact phone number:
Best day and time to chat about your horse this coming week?
Your email address:
General comments or concerns you have with your horse or horses:
Page 1 of 1
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service