NGSD Health Survey
NOTE: If you own more than one Singer, please fill out a separate survey for each. All survey respondents will receive a copy of the survey results and a "Thank You" gift.
Your name & email (optional) and the State you reside in
Your answer
Total number of Singers in home
Your answer
Year of birth or approximate age
Your answer
If Singer is deceased, at what age? Cause of death if known? Was an autopsy done?
Your answer
Option 1
Clear selection
Option 1
Clear selection
Is/ was this singer ever bred?
Yes
No
Clear selection
If bred, at what age(s)? What was the size and health of the litter(s)?
Your answer
If you have an intact female, what month does she normally go into heat?
Your answer
If you have an intact female, does she ever have a 2nd heat?
Yes
No
Unsure
Clear selection
What do you feed your singer?
Commercial Kibble
Canned dog food
Homemade cooked
Raw diet
Refrigerated or Frozen Commercial
Other:
Do you provide your singer any dietary supplements such as vitamins, probiotics, fish oil, etc.?
Yes
No
Clear selection
If you provide supplements, what kinds?
Your answer
Please check any of the medical issues this singer has (or had in the past)
Allergies
Arthritis
Blood/ Lymph disorders
Bone Problems
Cancer or growths
Cataracts/ Blind/ other eye problems
Diabetes
Ear problems (infections, hearing loss)
Endocrine disorders (pituitary, adrenal or other hormonal issues)
Heart problems
Immune disorder
Infection(s)
Parasites
Kidney/ Urinary Problems
Liver/ Gall Bladder
Overweight
Pancreatitis
Seizures
Skin Problems
Teeth/ Gum problems
Thyroid problems
Undescended Testicle (one)
Undescended Testicles (both)
Other (see next question)
Please provide more information about any items that you checked, such as what age it was diagnosed, what type of infections, specific problems, what allergies, and if your Singer has had *pancreatitis: how many times? Also, if there is some health issue that your Singer had that was not on the above list, please discuss that.
Your answer
Option 1
Clear selection
Does your singer take any medications regularly? If yes, what are they? Any side effects from medicine?
Your answer
Has your singer ever had problems with anesthesia during or after surgery/ teeth cleaning?
Yes
No
Never had anesthesia
Clear selection
Please check any vaccines that your Singer has had.
Parvo
Distemper
Leptospirosis
Adenovirus
Kennel Cough
Hepatitis
Rabies
At what age were first vaccines given?
Your answer
At what age was first rabies given?
Your answer
How often does your Singer get routine vaccinations?
Every year
Every 2 yrs.
Every 3 yrs.
Less often
Clear selection
If your Singer has had any reactions to vaccinations, please describe.
Your answer
How often does your Singer receive a rabies vaccine?
Your answer
Is your Singer on a flea and tick preventative? If yes, what type?
Yes
No
Clear selection
If yes, what type? Collar, drops, pill, etc.?
Your answer
Is your Singer on heartworm prevention?
Yes
No
Clear selection
Has your Singer had any blood tests in the past?
Yes
No
Clear selection
Would you be willing to obtain copies of lab results (if possible) to send to the NGSDCS? Lab tests help us greatly in gaining better information about Singer health.
Yes
No
Maybe
Clear selection
If you would be willing to share lab results with us, please write your email below.
Your answer
Are you willing for this researcher to clarify any information about your Singer's health? This will be kept confidential.
Yes
No
Maybe
Clear selection
If yes, please write your email below.
Your answer
Option 1
Clear selection
Thank you for filling out this survey. Your responses will greatly help in furthering our knowledge about health issues in NGSDs and also help us to better educate Singer owners about their Singer's wellbeing.
Gratefully, Susan Hendler, RN, MSES, NGSDCS BOD, Director of Science & Research
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