We would really appreciate the cooperation once again from any owners of dogs that are showing clinical signs of Lafora, or that have been tested as genetically affected, even if they are not yet showing any symptoms. This is a vital part of monitoring the possible impact of the condition over time. All data collected will be kept confidential and only used for research purposes. No owners' names, or dogs' names will be published. By completing this survey you consent to having your data used by this research project.
Questions marked with an asterisk (*) are mandatory. All other questions are optional. IF YOU HAVE COMPLETED THE FORM BEFORE, THE ONLY ESSENTIALS ARE YOUR NAME, YOUR DOG'S NAME AND ANY NEW SYMPTOMS IN THE LAST 12 MONTHS, BUT FEEL FREE TO COMPLETE ANY OTHER QUESTIONS IF YOU WISH.
If you have more than one dog that is, or may be, affected by Lafora, please complete additional surveys, using the same survey web address (you will be given the option to submit an additional survey at the end of this one).
Please ONLY complete this survey if you are a UK owner of a Miniature Wirehaired Dachshund.