Liverpool Osteoarthritis in Dogs

1
Dear Owner,

Thank you for agreeing to complete this questionnaire.

Your assistance in this endeavour will enable us to gather valuable information about your pet, and is a vital component in our ongoing quest to combat painful and debilitating diseases such as arthritis. It is important that all questions are answered to the best of your ability and if you have a question regarding the questionnaire, please contact a health care member from your veterinary clinic.
Thank you again for your help.

Answering the questions
Most of the questions are fairly simple. It is important that you only check one box per question except where otherwise requested (e.g. Question 4 under Lifestyle).

If you are in any doubt as to how to answer a particular question, please contact a member of staff for assistance.
2
Information* This field is required.
Owner Name
Pet's Name
Owner's Phone
Owner Email
Breed of pet
Pet's Age
Please Select
Please Select
Male
Female
Sex
3
How long has your pet been suffering with his/her mobility problem?* This field is required.
Up to 6 months
6-12 months
12-24 months
24-36 months
more than 36 months
4
Has your dog been diagnosed as suffering from any other problems in addition to his/her orthopedic disease?* This field is required.
Yes
No
5
Please list these if you can:* This field is required.
Huge
Large
Normal
Small
Ok
Ok
6
If you can, please list any medications that your pet is currently receiving, stating when he/she received the last dose of each:* This field is required.
Huge
Large
Normal
Small
Ok
Ok
7
In the last week, on average, how far has your dog exercised each day?* This field is required.
0-0.6 miles
0.6-1.2 miles
1.2-1.9 miles
1.9-2.5 miles
more than 2.5 miles
8
In the last week, on average, how many walks has your dog had each day?* This field is required.
0
1
2
3
4
More than 4
9
What type of exercise is this?* This field is required.
Always on leash
Mostly on leash
Mostly off leash
Always off leash
Working
10
Are there particular days of the week upon which your dog has significantly more exercise? (Check more than one box if necessary.)* This field is required.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
11
On what sort of terrain does your dog most often exercise?* This field is required.
On level grass
In woodland
On street
Over rough ground
12
At exercise, how is your dog handled?* This field is required.
Walk on leash
Walk off leash
Trot
Run Freely
13
Who limits the extent to which your dog exercises?* This field is required.
You
Your Dog
14
How is your dog's mobility in general?* This field is required.
Very good
Good
Fair
Poor
Very poor
15
How disabled is your dog by his/her lameness?* This field is required.
Not at all disabled
Slightly disabled
Moderately disabled
Severely disabled
Extremely disabled
Type option 4
16
How active is your dog?* This field is required.
Extremely Active
Very active
Moderately active
Slightly active
Not at all active
17
What is the effect of cold, damp weather on your dog's lameness?* This field is required.
No effect
Mild effect
Moderate effect
Severe effect
Extreme effect
18
To what degree does your dog show stiffness in the affected leg after a 'lie down'?* This field is required.
No stiffness
Mild stiffness
Moderate stiffness
Severe stiffness
Extreme stiffness
19
At exercise, how active is your dog?* This field is required.
Extremely active
Very active
Fairly active
Not very active
Not at all active
20
How interested is your dog in exercising?* This field is required.
Extremely interested
Very interested
Fairly interested
Not very interested
Not at all interested
21
How would you rate your dog's ability to exercise?* This field is required.
Very good
Good
Fair
Poor
Very poor
22
What overall effect does exercise have on your dog's lameness?* This field is required.
No effect
Mild effect
Moderate effect
Severe effect
Extreme effect
23
How often does your dog rest (stop/sit down) during exercise?* This field is required.
Never
Hardly ever
Ocasionally
Frequently
Very frequently
24
What is the effect of cold, damp weather on your pet's ability to exercise?* This field is required.
No effect
Mild effect
Moderate effect
Severe effect
Extreme effect
25
To what degree does your dog show stiffness in the affected leg after a 'lie down' following exercise?* This field is required.
No stiffness
Mild stiffness
Moderate stiffness
Severe stiffness
Extreme stiffness
26
What is the effect of your dog's lameness on his/her ability to exercise?* This field is required.
No effect
Mild effect
Moderate effect
Severe effect
Extreme effect
Should be Empty: