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United States Kerry Blue Terrier Club Charitable Funds 2019 Health Survey

                            Welcome to the Kerry Blue Terrier Health Survey

This survey has been developed by the United States Kerry Blue Terrier Club Charitable Funds Board in collaboration with the USKBTC Health and Genetics Committee.  Its purpose is to help guide investment by the Charitable Funds to improve the health and well being of Kerry Blue Terriers.  The survey will help determine the type and frequency of current health problems being encountered in the Kerry Blue Terrier population.

Please complete the survey for each individual Kerry Blue Terrier that you have owned since 2000. Personal information and pedigree information is NOT part of this survey and is not required to complete this survey. Information submitted is not identifiable by the United States Kerry Blue Terrier Club, Inc. Specific Kerry Blue Terrier names are not requested.  All Kerry Blue owners are encouraged to complete the survey whether a member of the USKBTC or not.
1.Have you taken this survey previously for another dog?(Required.)
2.Where did you obtain this Kerry Blue Terrier?(Required.)
3.Was this Kerry whelped in the United States?(Required.)
4.What year was the Kerry born?(Required.)
5.What sex is this dog?(Required.)
6.Is this dog still living?(Required.)
7.If this dog is deceased, please tell us about the cause of death or reason for euthanasia.  Please be as specific as possible describing the cause of death, using the diagnosis made by your veterinarian whenever possible.
8.What is/was the overall health of this dog?(Required.)
9.What is/was this dog's temperament (select those that apply)?(Required.)
10.Does/did this dog have any anxiety issues (select all that apply)?(Required.)
11.Was/is this dog spayed/neutered?(Required.)
12.Which protocol for heartworm preventative has/had this dog been on?
13.Has/had this dog ever been treated for a heartworm infection?
14.Was/has this dog even been given core vaccinations (rabies, distemper, parvovirus, hepatitis/andenovirus?(Required.)
15.Does/did this dog have titers done (check all that apply).(Required.)
16.What types of food does/did this dog eat?
17.Has this dog had an OFA or Penn Hip exam for hip dysplasia?(Required.)
18.Was the OFA or Penn Hip done at or after 24 months of age?(Required.)
19.Has this dog had an OFA exam for elbow dysplasia?
20.Was the OFA for elbow dysplasia at or after 24 months of age?
21.Has this dog had OFA eye CERF?
22.Was this dog health tested by DNA?(Required.)
23.If yes, indicate which DNA tests were completed and by whom.  
Q21
PNA/CMSD
Factor XI
DM
vWD
24.Was DNA testing done to confirm symptoms/diagnosis or for clearance purposes?
25.Has/had this dog ever been diagnosed with cancer?(Required.)
26.Does/did this dog have any benign growths and tumors - skin and subcutaneous tissue?(Required.)
27.Does/did this dog have any gastrointestinal disorders?(Required.)
28.Does/did this dog have any type of cardiovascular disorder?(Required.)
29.Does/did this dog have any type of respiratory disorders?(Required.)
30.Does/did this dog have any type of eye disorders?(Required.)
31.Does/did this dog have any type of ear disorders?(Required.)
32.Does/did this dog have any type of neurological and/or muscular disorders?(Required.)
33.Does/did this dog have any type of skin disorders?(Required.)
34.Does/did this dog have any type of liver disorders?(Required.)
35.Does/did this dog have any orthopedic disorders?

(Required.)
36.Does/did this dog have any type of blood/lymph disorders?(Required.)
37.Does/did this dog have any type of endocrine disorders?(Required.)
38.Does/did this dog have any type of kidney disorders?(Required.)
39.Does/did this dog have any type of dental disorders?(Required.)
40.Does/did this dog have type of reproductive disorders?(Required.)
41.Has this dog whelped or sired a litter?(Required.)
42.If this dog produced puppies were there any with congenital abnormalities?
Thank you for participating in this survey!

If you have another dog to add to the health survey, please complete the questionnaire again.  We appreciate your contribution of information to the database.  All results are kept confidential.

Please pass the word and ask all Kerry Blue Terrier owners and breeders to complete the survey.  Your responses provide valuable information for the health and well-being of our beloved Kerry Blue Terriers.
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