Health Survey
Do you own a Slovakian Rough Haired Pointer? *
What is their registered Kennel Club name? *
Your answer
What is your Slovaks date of birth? *
MM
/
DD
/
YYYY
What is the Kennel Club name of sire? *
Your answer
What is the Kennel Club name of dam? *
Your answer
Where did you get him/her from? *
Required
Has your Slovak suffered from any health issues ? *
What was the problem and how did it arise? *
Your answer
If this illness necessitated a visit to your vet what was the diagnosis and treatment? *
Your answer
Please provide details of vets practice or say No if you are not willing for us to contact them *
Your answer
Have you completed a health form and submitted it to the club? *
If you are happy to be contacted by the breed club coordinator please provide us with contact details or type No *
Your answer
Is there anything else you would like to let the club know about or any suggestions you have for the club?
Your answer
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