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The
Skye Terrier Foundation |
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Skye Terrier Foundation Health Survey The Skye Terrier Foundation is committed to preserving and improving the health of the Skye Terrier breed. In order to continue our mission, we ask each Skye Terrier Fancier to complete this survey for every Skye they currently own or have owned within the past 5 years. Please reply for all living and deceased Skyes. Please complete a separate survey for each Skye you are responding for. All replies will be kept confidential. Name
of your Skye Terrier (optional) _______________________________________ 1.
Have you had Skye die in the last 5 years
Yes___ No___ 2.
If yes, Cause of death ____________________________ 3.
Age at time of death ________ 4.
Did your Skye have any other medical problems prior to his death?
Yes___ No___ 5.
Do you have a Skye[s] who are alive who has or had a tumor? Yes___
No___ 6.
Do you have a Skye[s] who are alive who have or had other major
medical problem Yes___No___ if yes, enumerate
____________________________________________ 7.
Do you know of any dog you bred and placed that has or had a tumor
or other major medical problem Yes___ No___ Would
you be willing to complete a survey for this Skye Yes___No__ Or
would you give us the name of this owner to contact directly Yes___No__ Name & address ____________________________________ ____________________________________ ____________________________________ 8. What medical
problems do you feel important to our breed or would like more information
about? Print and return this form to: Donald
F. Brown, M.D. |
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