cavalierstethescope

Millenium Cavalier King Charles Spaniel Health Survey

The American Cavalier King Charles Spaniel Club would like to know about the health of Cavaliers in the Twenty-First Century. In order to get a good picture of what the health of a Cavalier over it's lifespan is, we have decided to include dogs that were born on January 1st, 2000 through the end of our survey(end date here). We know may of these dogs have passed but feel they are equally important in our Health Survey. In order to have a one to one relationship between a dog and its health history, we ask that you fill out one survey per dog. This survey is completely confidential.

We ask about a lot of health conditions in this survey that you may not know about or understand. If you have never heard of a condition, that is great! It means that your dog did not likely have it. Don't let the questions overwhelm you, just like in a human health history, there will likely be a lot of "NO" answers. The survey should only take about 5-10 minutes per dog and will give us a wealth of knowledge as the ACKCSC Charitable Trust continues to fund research that affect our dogs.

Breeders, please start with your dogs that were born in 2000. If you have placed the dog, but are still in touch with the owners so that you know the health history of the dog, please include them in this survey. If you have lost touch and don't have a health history on this dog, please do not include them. We ask that you share this survey to all of the people that you have sold to or placed puppies with. We know this will be time consuming for breeders, but the more information that you give us, the better we can serve the needs of future Cavaliers.

General Owner Information:

How many dogs do you intend to complete this survey for?

Where do you live?

How many Cavaliers do you currently own?

How many years have you owned Cavaliers?

Are you a breeder? Yes No

General Information about this dog:

Where did you obtain this dog?

If Bred by you or direct from a Breeder, does the breeder show in Conformation? Yes No I Don't Know

If Bred by you or direct from a Breeder, does the breeder show in Performance? Yes No I Don't Know

Is this dog a male or female? Male Female

What Color is this dog? Black and Tan Blenheim Ruby Tricolor

Has this dog sired or whelped a litter? Yes No

At what age was this dog spayed or neutered?

What is/was the main diet of this dog

Did/does this dog compete in Conformation? Yes No

Did/does this dog compete in Agility? Yes No

Did/does this dog compete in Obedience? Yes No

Did/does this dog compete in Rally? Yes No

Did/does this dog compete in FastCat? Yes No

Did/does this dog participate in Therapy Dog? Yes No

Please describe the vaccination Protocol for this dog

What is/was the overall health of this dog?

What is/was the weight of this dog?

Is/was the this dog Overweight, Underweight or Optimal weight for size??

Describe the temperament of this dog.

What year was this dog born?

Is this dog living or deceased Living Deceased

If deceased, at what age did this dog pass?

If deceased, what was the cause of death?

If Cause of Death was not listed above, please tell us the cause of death.

Heart Health Information About this Dog

Was this dog ever diagnosed with Mitral Valve Disease? If no, proceed to question # Yes No

What age was this dog diagnosed with MVD?

At what age did this dog start taking Medication for MVD?

Nueorlogical Health Information About this Dog

SYRINGOMYELIA/CHIARI MALFORMATION

Was this dog ever diagnosed with Syringomyelia (SM) or Chiari-like Malformation (CM). If no, proceed to question # Yes No

What age was this dog diagnosed with SM/CM?

Is/was the dog symptomatic? Yes No

How are/were the symptoms managed

How was the dog diagnosed MRI Symptomatic Diagnosis

OTHER NEUROLOGIC DISORDERS

Does/did this dog have Disc Disease (DM Degenerative Myelopathy)? Yes No

Does/did this dog have Epilepsy? Yes No

Does/did this dog have Hydrocephalus? Yes No

Does/did this dog have Eposodic Falling? Yes No

Does/did this dog Fly Catching Syndrome? Yes No

Does/did this dog have Vestibular Disease? Yes No

EAR DISORDERS

Does/did this dog have Primary Secretory Otitis Media (PSOM)? Yes No

Does/did this dog have Deafness? Yes No

Does/did this dog have Chronic Ear Infections? Yes No

If diagnosed with deafness, at what age was this dog diagnosed?

EYE DISORDERS

Does/did this dog have Juvenile Cataracts? Yes No

Does/did this dog have Senile Cataracts? Yes No

Does/did this dog have Cherry eye? Yes No

Does/did this dog have Corneal Dystrophy? Yes No

Does/did this dog have Distichiasis? Yes No

Does/did this dog have Dry Eye Syndrome? Yes No

Does/did this dog have Entropion? Yes No

Does/did this dog have Glaucoma? Yes No

Does/did this dog have Microphthalmia? Yes No

Does/did this dog have Retinal Dysplasia Folds? Yes No

Does/did this dog have Retinal Dysplasia Geographic? Yes No

Eye & Ear Health Information About this Dog

GASTROINTESTINAL DISORDERS

Does/did this dog have Food Allergies? Yes No

Does/did this dog have Food Allergies affecting Gastrointestinal System ? Yes No

Does/did this dog have Hemorrhagic Gastronenteritis (HGE)? Yes No

Does/did this dog have Inflammatory Bowel Disease (IBD)? Yes No

Does/did this dog have Pancreatitis? Yes No

Does/did this dog have obstruction of foreign object requiring surgery? Yes No

SKIN DISORDERS

Does/did this dog have Atopic Dermatitis? Yes No

Does/did this dog have Demodectic Mange? Yes No

Does/did this dog have Cheyletiellosis? Yes No

Does/did this dog have Food Allergies affecting Skin? Yes No

Endocrine System & Autoimmune Health Information About this Dog

ENDOCRINE DISORDERS

Does/did this dog have Diabetes? Yes No

Does/did this dog have Cushings Disease? Yes No

Does/did this dog have hypothyroidism? Yes No

AUTOIMMUNE DISORDERS

Does/did this dog have Autoimmune Hemolytic Anemia (AIHA)? Yes No

Does/did this dog have Immune-Mediated Thrombocytopenia? Yes No

Does/did this dog have Masticatory Muscle Myositis (MMM)? Yes No

Dental, Kidney & Liver Health Issues:

DENTAL HEALTH

Do/did you brush this dogs teeth regularly? Yes No

How often does/did this dog have veterinary dentals

How many teeth has this dog had extracted

KIDNEY DISORDERS

Does/did this dog have Juvenile Onset Chronic Kidney Disease (Juvenile Nephropathy)? Yes No

Does/did this dog have Chronic Kidney Disease (old age relates) ? Yes No

LIVER DISORDERS

Does/did this dog have Portosystemic Shunts? Yes No

Does/did this dog have Chronic Hepatitis? Yes No

Musculoskeletal & Cancer Health Information About this Dog

MUSCULOSKELETAL ISSUES

Does/did this dog have Patellar Luxation? Yes No

If this dog had/has Patellar Luxation, was surgery required? Yes No Not Applicable

Does/did this dog have Hip Dysplasia? Yes No

Does/did this dog have Arthritis? Yes No

CANCER

Does/did this dog have Cancer? Yes No

Does/did this dog have Hemangiosarcoma? Yes No

Does/did this dog have Osteosarcoma? Yes No

Does/did this dog have Lymphoma? Yes No

Does/did this dog have Melanoma? Yes No

Does/did this dog have Mast Cell Tumor? Yes No

If this dog has/had another type of Cancer that is not listed above, please list here.

THIS PAGE IS FOR BREEDING DOGS ONLY. IF THIS DOG HAS NOT BEEN BRED, SKIP ALL QUESTIONS AND SCROLL TO THE BOTTOM AND CLICK ON THE SUBMIT BUTTON TO COMPLETE THE SURVEY

FEMALE REPRODUCTION - Please answer for female dogs only

Does/did this dog have Infertility? Yes No

Does/did this dog Reabsorb Puppies? Yes No

Does/did this dog have Premature Delivery? Yes No

Does/did this dog have Dystocia (Difficult labor and delivery)? Yes No

Does/did this dog have Eclampsia? Yes No

Does/did this dog have Mastitis? Yes No

Does/did this dog have Pyometra? Yes No

MALE REPRODUCTION - Please answer for male dogs only

Does/did this dog have Low Sperm Count? Yes No

Is/was this dog completely Sterile? Yes No

If this dog is/was sterile, at what age did he become sterile??

Thank you for completing this survey. If you would like to complete another survey, please click the link below.


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