New Horse Consult Form
Diet Analysis & Feed Plan
Owner Details
Name
First
Last
How long have you owned your horse?
-
Day
-
Month
Year
Date of purchase or ownership
Address
Phone Number
Email
Social Media Handles
Horse Information
Horses Name
Age (If known or estimate)
Breed
Height
Weight
Gender
Gelding
Mare
Stallion
Filly
Colt
Owners Goals & Concerns
What specific issues are you experiencing with your horse?
Calories
What are your goals for your horses health and performance?
Are there any particular areas you would like to focus on? Weight gain, digestive and gut issues, poor coat?
Grams
Current Diet
PLEASE INCLUDE QUANTITIES FED OF EACH FEED TYPE (for example: 1kg of copra, 10 grams of salt or 2 biscuits of lucerne hay).
Forage type? What pasture/grass is available to your horse?
What type of hay? Lucerne, grassy, rhodes?
What pellets do you feed?
Supplements? Salt, joint & gut support, herbs?
How many days a week is your horse fed? (Hard feed & Hay)
General Health
Is your horse stabled?
Yes
No
Does your horse have any pre existing or current medical or health issues? (Ulcers, recent colic, body soreness?
Worm egg fecale count?
Yes
No
Worming methods and frequency?
Stool
Normal
Loose
Hard
Inconsistent
Urination
Normal
Bad smell?
Strong colour - yellow or cloudy?
Exercise & Riding
What do you & your horse do together?
Ground work
Trail/pleasure riding
Performance/Competition (dressage, camp draft, show jumping, barrel racing)
Endurance
Racing
Other
If you chose other - let me know here!
How many days a week are you riding or exercising your horse?
Whats is your horses work load? (How many hours per day/week, low intensity/high intensity, ground work or in the saddle?)
New Diet Plan Appointment
Phone Conault
Best Date & Time?
-
Month
-
Day
Year
Date
Is there anything else that you feel is important regarding your horse?
Please upload a photo of your horse - Side On & Behind
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Subscribe to 'The Horse Club'. Equine education & community!
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Where did you hear about Mane Equine
Instagram
Facebook
Word of mouth
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