ASA Stabyhoun Inventory Form
This form is used for historical reference on the measurements and notable health information about the Stabyhoun breed in conjunction with NEDERLANDSE VERENIGING VOOR STABIJ EN WETTERHOUNEN.
Name of Inventory Taker: *
Today's Date *
MM
/
DD
/
YYYY
Registered Name of Dog *
Registration Type and Number *
Example: NHSB 2720204 or FCPR P11.1250
Microchip #
Sex *
Color of Coat *
Owner Info
Owner's Name *
Street Address *
City, State or Province, Zip Code *
Phone Number *
Email *
Measurements and Weight
Weight of Dog in Kilograms *
1 kg = 2.2 pounds
Length of Muzzle in Centimeters *
In photo, point A to B
Length of Head from Occiput to Nosetip in Centimeters *
in photo above, point A to C
Muzzle circumference just below stop in Centimeters *
around muzzle at Point B
Muzzle circumference at nosetip in Centimeters *
around muzzle at Point A
Skull Circumference at widest point in Centimeters *
around skull without including ears near Point C
Breast Circumference at Widest Point in Centimeters *
breast going around body around Points 2 and 3
Length of Foreleg in Centimeters *
from floor to "hole" in elbow joint -- Point 1 to 2
Height at Withers in Centimeters *
from floor to top of shoulder blade -- Point 1 to 3
Overall Body Length in Centimeters *
from breastbone to sitbone in straight line -- Point 4 to 5
Exterior Assessment
Head *
does the head have loose skin under chin or loose lips?
Required
Muzzle *
does the nose appear straight, or does it bend?
Required
Nose tip color *
Required
Size of teeth *
Required
Teeth position *
Required
Missing teeth?
please note which teeth are missing, if any
Eye position in head *
Required
Eye Lash Placement *
Eye Set *
Eye Color *
Ear Set *
Ear Fur *
Ear Form *
Ear Length *
Back support *
Belly line *
Fitness *
Forehand angulation *
Fore Feet *
Hindquarters angulation *
Hind Feet *
Tail Set *
Tail Fur *
Tail Carriage *
Coat Appearance *
Stance of front legs *
Stance of rear legs *
Movement at a walk *
Movement at a trot *
Ear Inflammation
Clear selection
Ear Inflamation
Please mention type of inflammation and frequency of occurrence
Eye excretion
Clear selection
Eye excretion
Please mention type of excretion and frequency of occurrence
Skin and Fur Abnormalities:
Clear selection
Anal Glands
Clear selection
Anal Glands
Please detail frequency of occurrence
Respiratory System Abnormalities
Please detail type and frequency of occurrence
Circulatory System and Heart Abnormalities
Please detail type and frequency of occurrence
Digestion System Abnormalities
Please detail type and frequency of occurrence
Urinary Tract Abnormalities
Please detail type and frequency of occurrence
Reproductive System
Please detail frequency and intensity of occurrence
Reproductive System -- treated for heat cycle
Clear selection
Reproductive System
Clear selection
Reproductive System -- Males only
Clear selection
Mammory Glands -- Females only
Clear selection
Hip Joints
Clear selection
Elbow Joints
Clear selection
Other Joint Issues?
Clear selection
Epilepsy occurrences
Describe situation and frequency of occurrence
Home Environment *
Describe flooring in home and sleeping quarters, etc.
Owner's Description of Dog's Behavior and Character *
Description by owner
Inspector's Description of Dog's Behavior and Character *
Description by Inspector
Additional Comments
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