Lafora Disease Progression Survey
This survey is part of a project to research the progression of Lafora Disease in Miniature Wire-haired Dachshunds.  It is supported by the Dachshund Breed Council's Health Sub-committee and Dr. Clare Rusbridge (Veterinary Neurologist).  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.  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).

Where you can't remember exact dates, please simply do your best and give us an estimate.

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.

Please ONLY complete this survey if you are a UK owner of a Miniature Wirehaired Dachshund.

Questions marked with an asterisk (*) are mandatory. All other questions are optional.

[V2 2014]
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Please confirm your name. *
First-name + Surname
Please confirm your e-mail address. *
Please provide your dog's Pet Name. *
Please provide your dog's Kennel Club Registered Name, if known.
Please confirm your dog's date of birth (exact if possible).
dd/mm/yy
Is your Dachshund a dog or a bitch? *
What is the current sexual status of your dog? *
If your dog is a bitch, has it ever had a litter of puppies and if so how many?
Clear selection
In what month and year did your dog die, if it has? (mm/yy)
Ignore this question if your dog is still alive.
How old is your dog now? (to the nearest half year, if s/he is still alive)
Please enter the age to the nearest half year, e.g. five years seven months old would be 5.5
Has your dog been DNA tested using the WHDC screening programme as being "Affected" by Lafora Disease? *
The WHDC has been screening dogs with a DNA test since 2010.
Has your dog been clinically diagnosed, by a veterinary surgeon, as having Lafora Disease? *
Has your dog ever shown any symptoms that might be related to Lafora? *
If 'no', you will skip the next set of questions.
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