Salukis In
Good HealthSalukis In
Good Health
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The following questions are for you to fill out with information on your Saluki(s). We realize that many of these questions refer to Salukis that have passed on. That does not mean the information you have for your living Salukis is unwanted, simply that in situations where information is being sent in after the death of a Saluki, there is much valuable data, including medical forms, etc., and we wanted to be sure to have a place for that data. For those who have lost a dear friend, we realize that this will be a difficult time for you, but the information provided will be vital to the success of our database analysis process. For all animals, please answer all the questions that pertain to your situation with the greatest amount of detail available to you, as our database will be the most helpful if we can have the maximum amount of information on each entry. If there are details you cannot obtain, however, please fill in the questionnaire to the best of your ability and submit it anyway. Every bit of information we can gather will help. In some cases it may be helpful to contact your veterinarian for access to your dog's official records. Please call, write or email SIGH with any need for contact, questions, or concerns.
2-1. Sex of dog: _________
2-2. Usual height and weight: _______________________________
a. Significant deviation at death: ___________________________
2-3. Number and sex (where known) of puppies in the litter that
produced the dog:
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2-4. If dog was bred, how many times, and how many puppies produced. Include sex of puppies and how many of the litter survived:
Litter #, # puppies: Details:
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2-5. Geographical area where dog spent most of life:
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2-6. Geographical areas travelled with dog:
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2-7. Please give indication of any environmental concerns (water
pollution, high tension wires, pesticides, nearby heavy
automobile pollution, etc.) present in areas the dog spent any
significant amount of time in:
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2-8. Vaccines (types, brand names and dates/age of dog)
administered during lifetime (give specifics where known):
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2-9. List of illnesses, surgical procedures or injuries treated
in lifetime:
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2-10. Please indicate any significant medical tests the dog was
subjected to during its lifetime and the results thereof
(e.g.: thyroid testing, OFA, CERF, etc.):
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2-11. List of problems, not necessarily treated by DVM. (e.g.:
muscle cramping, fainting, etc.)
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2-12. Diagnosed or observed parasites
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2-13. Parasiticides and anthelminthics administered during
lifetime (including flea and tick treatment, internal worming
medications, heartworm preventives, etc.)
____________________________________________________________
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2-14. Medications administered, other than those mentioned in
Item 2-13 above, both long term and short term
____________________________________________________________
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2-15. Diet
a) If you fed a natural (ie: home made) diet, please list
ingredients, general proportions/amounts, and feeding schedule:
____________________________________________________________
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b) If you fed a commercial diet, please list brand name(s)
and amounts to the best of your ability:
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c) Dietary additives (e.g.: vitamins, herbs):
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d) Treats, table food, and other goodies fed on a regular
basis:
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2-16. Activity level and fitness. Please state whether each item
is "recent" or "past" activity, and generally how long ago, if
the latter. Indicate, also, how often and how long the dog
participated.
a) List activities (open field coursing, lure coursing,
obedience, agility, etc.) dog participated in regularly,
either formally or informally:
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b) Describe dog's normal exercise regime (fenced yard/run
(size?) with free exercise, regular walks on lead, sedentary
most of the time, etc.):
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2-17 Attendance at organized activities at which many other
dogs are present (breed/conformation shows, handling or
obedience classes, etc.). Respond in similar format to
Item 2-16 above.:
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2-18. Structural abnormalities (e.g.: extra dewclaws, kinked
tail, retained testicle, etc.):
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2-19. List of behaviors that might be considered abnormal (e.g.:
compulsive licking, hair pulling, false pregnancies, or any other
activity that disturbed you as the person who knew this dog
best):
____________________________________________________________
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2-20. Cause of Death (whether or not necropsy was performed;
please include documentation if it is available to you; see
note about confidentiality in item number 2-21.):
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2-21. Necropsy conclusions: Please include copies of all forms, stapled securely to this form. If you desire that the identifying information on your forms be concealed, please cover it with blank paper or concealing tape before photocopying.
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Please place completed form in an envelope. Include all attachments. Seal and mark, on the back, MEDICAL. Place this envelope in the larger envelope along with the document(s) for Part I, and mail to the address of your choice from the "Qdoc" Instructions page.
Pres: Lin Jenkins
2966 Old Hickory Rd.
Lancaster, SC 29720 U.S.A.
ph: 803/283-4587
email: saluki@execulink.com
or
Sec: Gayle Nastasi
RR#2, Box 315E
Middleburgh, NY 12122 U.S.A.
ph: 518/827-7129
email: gayzehound@bigfoot.com
ATTACHMENTS ENCLOSED: (check all that apply)
[ ] Medical Forms (specify below)
[ ] Necropsy Results
[ ] Other information you feel is pertinent (details below)
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Update: March 26, 1998