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OSTEOADVANCE
GASTROADVANCE
QUESTIONNAIRE
RESEARCH
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MULTIBALANCE
OSTEOADVANCE
GASTROADVANCE
QUESTIONNAIRE
RESEARCH
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First name
*
Last name
*
Email
*
Phone
Address
Birthday
Month
Day
Year
Horse's Name
*
Age
*
Breed
*
Weight
*
Discipline
*
Level
*
How many days per week in work?
*
Current Forage (Type and Amounts)
*
Current Supplements (Name and Amounts)
*
How many feedings per day?
1
2
3
4
Reaction to Food?
Picky Eater
Eats Quickly
Normal
Easts Slowly
Eager to Eat
Leaves Food
How many gallons of water does your horse drink per day?
Feeding Location
Stall
Pasture Shared
Pasture Alone
My horse is
Easy Keeper
Normal
Hard Keeper
My horse's coat is
Normal
Delayed Shedding
Dull
Shiny
Heavy Coat
Mane & Tail Condition
Normal
Thick & Grows Fast
Thin & Grows Slow
Energy Level at Rest
Normal
High
Low
Energy Level in Work
Normal
High
Low
Is your horse nervous or anxious?
Yes
No
Sometimes
Is your horse prone to allergies or infections?
Yes
No
Have you had an allergy panel?
Yes
No
If yes, please upload.
Upload File
Is your horse more sensitive to bugs than other horses?
Yes
No
Does your horse attract more bugs than other horses?
Yes
No
Manure Texture
Normal
Dry/Hard
Wet/Soft
Diarrhea
Gut Health
Normal
History of Colic
History of Ulcers
History of Diarrhea/Loose Stools
Metabolic Health
Normal
PSSM
EMS
History of Laminitis
Cushing's
Insulin Resistance
Other
Skin Health
Normal
Allergies
Hives
Fungal or Bacterial Infections
Sores
Other
Respiratory Health
Normal
Heaves/COPD
History of Respiratory Infections
Hoof Health
Strong
Brittle
Fast Growing
Slow Growing
Sensitive
Thrush
White Line
Abscess
Shoes
Pads
Barefoot
Other
Joint Health
Normal
Injections
Arthritis
OCD
Injury
Tendon & Ligament Health
Normal
History of Injury
Other Comments or Concerns
Conformation Photo(s)
Upload File
Submit
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MULTIBALANCE
OSTEOADVANCE
GASTROADVANCE
QUESTIONNAIRE
RESEARCH
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