Medical History Update Questionnaire
Please fill out for the previous year. Your information will help us improve our breeding program.
For the Past Year of:
*
Last Year example: 2022
Your Name
*
First last and add spouse/partner, if applicable
Your Dog's Name
*
Call Name
Update Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Update Email
example@example.com
Update Phone Number
Please enter a valid phone number.
*Our dog passed away
Date of Death / Cause of Death
Has your dog had any minor or serious medical issues? If yes, please explain.
*
Have you spayed or neutered your dog? Note that you are not under any obligation to do so. If done, it is best to do so after the dog is sexually mature, usually after two years old. There are no breeding exceptions for those dogs with Limited Registration. * Refer to your contractual requirements for release to breed.
No
Yes
No, plan to breed*
Dog was spayed or neutered on: (please attach record)
-
Month
-
Day
Year
Date
Attach Spay/Neuter Record
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If preparing for breeding release, please select screenings that are complete. As these are completed, they are submitted to OFA at https://online.ofa.org/ and become a part of the dog's permanent public record. When these are done, Sundancin' Golden releases all partial ownership.
OFA Eyes (Required to have eyes checked yearly)
OFA Basic Cardiac (Can be done after 12 months)
OFA Advanced Cardiac (Only if Basic does not pass)
OFA Hips and Elbows (Do at 24 months)
DNA (Embark, PawPrint Genetics, etc. - optional)
Please attach a current photo or video of your dog for our records. We may use this in promotional social media posts. Also please attach other copies of any medical records, DNA reports, OFA health screenings for our records.
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You may use photos or videos acquired from social media and provided to us for the purpose of promoting Sundancin' Goldens.
*
Yes, I give my consent.
No, please don't share.
Are you satisfied with the temperament of your dog? If not, please explain.
*
Do you feel your dog is intelligent and a quick learner? If not, please explain.
*
Are you satisfied with the color and shape of your dog? If not, please explain.
*
Were you satisfied with the way we raised your pup? If not, please explain.
*
Could we have done something better? What could we improve? Please be honest, it will only help us do better in the future.
*
Potential buyers of our puppies like referrals. Is it ok to share this information with them? If yes, they might like to talk directly with you about your experience. If ok, please include a contact number. All buyers will be screened by us, typically we will dial your number, tell you it is us, & then hand the phone to them to talk, most of the time just seeing this information is enough for most clients. Feel free to use this space to provide us with any information you feel is important to us.
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