Alaskan Klee Kai Health Survey 2016
© Alaskan Klee Kai Association of America, Inc. (AKKAOA)
AKKAOA 2005 & 2016

Dear Alaskan Klee Kai Owner,

We are dedicated to the health and welfare of these precious little members of our family, and are conducting this Health Survey of all AKK to determine the health status of these dogs. If all owners participate in this survey, we can better determine, what health issues are present in this breed, and what we need to do about them to improve the health status of the AKK. But we need your help to gather the best information that we can, for the sake of this breed.

We commend you for investing the time to provide this invaluable information to the Health and Medical Research Committee. This data will be vital to the future success of this breed by allowing breeders to make better and more informed decisions about their breeding programs as well as the health committee provide better recommendations to the Klee Kai community at large. Information will be gathered on genetic as well as acquired health problems. Please keep in mind that even a lack of any health issues for a perfectly healthy Klee Kai is also important for us to know when considering the overall health of the breed, so please submit that information as well.

Donations and AKKAOA dues make this Research Project possible. Thank you.

We want to capture health information, including genetic, as well as acquired health problems for all living Alaskan Klee Kai and all Alaskan Klee Kai born after January 1, 1989, including those who are deceased.

NOTE: Please Complete ONE survey for Each AKK you currently own; and each AKK you've owned, now deceased, but born after January 1, 1989. Answer all questions you can, but if you don't know the answer, answer unknown or skip it.

NOTE: If you co-own an AKK with another individual who lives in another household, the owner who has physical possession of the dog should complete the survey on behalf of the dog. This will avoid duplication of health info on the same dog.

This survey is voluntary and the results will be anonymous. No dog(s) nor breeder/owner will be individually identified in any report. Please encourage everyone you know who owns an Alaskan Klee Kai to complete this survey. We hope to have sufficient responses by March 1, 2017 to provide a preliminary report soon after. Results will be published in the AKKAOA Newsletter and on AKKAOA’s website following data compilation and analysis. The Alaskan Klee Kai community will benefit in many ways by your participation in this survey.

Thank you for taking the time to complete this survey. At the end of the survey there is space to include any additional information or comments regarding the survey. If you wish to provide any additional documents, photos or reports, they can be emailed to The AKKAOA Health Committee at: healthchair@akkaoa.org
Basic Information
Breeder/Kennel Name of this AKK:
AKK Name:
Call Name:
Purebred Alaskan Klee Kai? Registration Status?
Date of Birth:
MM
/
DD
/
YYYY
If Deceased, Date:
MM
/
DD
/
YYYY
Cause of Death:
Sex:
Clear selection
Spayed or Neutered?
Clear selection
What Age Spayed or Neutered:
Height: A (withers) to B, Length: C to D
Variety:
Clear selection
Coat Color:
Clear selection
If Gray/White or Black/White Coat, from front, what color outlines ears?
Clear selection
Are all markings symmetrical (except for stomach)?
Clear selection
Ears are strongly erect?
Clear selection
If ears are not strongly erect, please describe:
Shape of eyes:
Clear selection
Left eye color:
Clear selection
Right eye color:
Clear selection
Bite:
Clear selection
Frequency of dental care by veterinarian?
Clear selection
What dental care is provided in the home?
Full Dentition
Did your Alaskan Klee Kai have full dentition as adult, 42 teeth?
Clear selection
Total number of teeth before extractions:
How many teeth extracted over time:
Mask - A full mask contains 4 parts (dark color on top of head, lighter color over eyes, dark color under eyes, dark color down muzzle). For Split mask(White line between eyes and running down middle of muzzle) check Other and describe, such as 3/4 with split
Clear selection
Height at withers (inches) or answer in centimenters below.
Height at withers (centimeters).
Length (inches) or answer in centimenters below.
Length (centimeters).
Weight (lbs) or answer in grams below.
Weight (kg).
Tail long enough to touch back when up?
Clear selection
Is there a kink in the tail?
Clear selection
If there is kink in tail, was it there from birth or injury?
Clear selection
If there is a kink in the tail, indicate where it is located.
Clear selection
Nose
Clear selection
Dew Claws removed?
Clear selection
If "Yes" to Dew Claws removed, what age, if known?
If known, how many dew claws were there?
Raised on what type flooring?
Clear selection
Your dog lives in:
Clear selection
Your water supply is:
Clear selection
What pesticides/chemicals do you use on your property?
What flea/tick preventative brand do you use?
Is your flea/tick preventative:
Clear selection
Do you use Heartworm preventative?
Clear selection
If you use Heartworm preventative, what brand?
Is your Heartworm preventative:
Clear selection
If your dog has had a reaction to heartworm medication, what was brand:
If your dog has had a reaction to heartworm medication, what was reaction?
Has your dog ever had heartworm?
Clear selection
Please list any over the counter drugs your Klee Kai takes regularly.
Please list any supplements or vitamins that your Klee Kai takes regularly.
When free standing front legs are:
Clear selection
When free standing back legs are:
Clear selection
Has been cleared of Patella or Hip problems?
Clear selection
If "Yes" to cleared of Patella/Hip problems, by who?
Overall Health?
Poor
Excellent
Clear selection
For Overall Health Grade, what factors did you consider?
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