An Overview of the Health Breeding of the Cardigan Welsh Corgi Cardigan Welsh Corgi Health And Breeding Survey Name (optional) Kennel Name (optional) Country of Residence (necessary for the survey) Please tick the relevant box to indicate your choices type in the provided spaces. Please feel free to include any information which might be useful for the survey i.e. pedigrees, x-rays etc. Before returning the questionnaire please confirm the following statements by checking the adjacent check-boxes. I confirm that I have read have understood the information sheet for this study. I have had the opportunity to consider the information, ask questions have had these answered satisfactorily. I underst that my participation is voluntary that I am free to withdraw at any time without giving any reason, without my rights being affected. I underst that, under the Data Protection Act, I can at any time ask for access to the information I provide I can also request the destruction of that information if I wish. I agree to take part in the study. Section A: Dogs that you currently own This section asks for basic information on cardigan corgis that you currently own. This does not include dogs that were bred by you are now owned by others or puppies in your ownership below 8 weeks of age. Current age of dog Sex Neutered Male: Female: Yes: No: Male: Female: Yes: No: Male: Female: Yes: No: Male: Female: Yes: No: Male: Female: Yes: No: Male: Female: Yes: No: Male: Female: Yes: No: Male: Female: Yes: No: Male: Female: Yes: No:
An Overview of the Health Breeding of the Cardigan Welsh Corgi Section B: Health of dogs currently owned or owned in the past This section covers certain health conditions that may have affected dogs you currently own or have owned in the past. suffered from a condition affecting the back? suffered from Intervertebral Disc Disease? suffered from Hip Displasia? suffered from Elbow Displasia? What other skeletal conditions or spinal deformities including necks tails have dogs of yours suffered from? How many of the dogs you currently own or have owned in the past suffered from a condition affecting the digestive system? How many of the dogs you currently own have owned in the past have suffered from Exocrine Pancreatic Insufficiency? What other digestive problems have dogs of yours suffered from? suffered from serious lameness? ruptured a cruciate ligament? suffered with paralysis? At what ages did these dogs suffer from these problems?
An Overview of the Health Breeding of the Cardigan Welsh Corgi What other conditions have dogs of yours suffered from to cause serious lameness or paralysis? Please give any details of causes treatments. suffered from Addison s Disease? At what ages did these dogs suffer from Addison s Disease? What other similar conditions have dogs of yours suffered from? suffered from Canine Meningitis? At what ages did these dogs suffer from Canine Meningitis? What other similar conditions have dogs of yours suffered from? How many of the dogs you currently own or have owned in the past have suffered from deafness? At what ages did these dogs suffer from deafness? suffered from Epilepsy? At what ages did these dogs suffer from Epilepsy? What other similar conditions have dogs of yours suffered from?
An Overview of the Health Breeding of the Cardigan Welsh Corgi suffered from Haematoma of the ear? At what ages did these dogs suffer from Haematoma? What other conditions relating to blood disorders have dogs of yours suffered from? Have any of the dogs you currently own or have owned in the past suffered from cataracts? Yes: No: At what age were these dogs when diagnoses occurred? Age at which cataract diagnoses occured How many of the dogs you currently own or have owned in the past have suffered from blindness? At what ages did these dogs suffer from blindness? been affected by Cryptorchidism?
An Overview of the Health Breeding of the Cardigan Welsh Corgi Have any of the dogs you currently own or have owned in the past suffered from Cancer? Yes: No: At what age were these dogs when diagnoses occurred? Age Type of cancer Type of treatment What other conditions of this type have dogs of yours suffered from? Section C: Causes of death This section asks for information on Cardigan Corgis of yours that have died or been euthanased in the past. Please give the age at which the dog passed away the reason. Age at time of death Natural/ Euthanasia Cause/Reason for Death If Other please exp
An Overview of the Health Breeding of the Cardigan Welsh Corgi Section D: Breeding This section is about any Cardigan Corgis that you have used for breeding, if you are not a breeder or have never bred a litter of Cardigan Welsh Corgis, please go to the end of the questionnaire for details of where to send your completed form. How many of your male dogs have been used as stud dogs? How many times in total have dogs of yours been used for stud? How many breeding bitches have you owned? How many Cardigan Corgi litters have you had in total? Please list litter sizes in the table below: Number of puppies carried through pregnancy Number of puppies 24 hours after whelping Number of puppies 8 weeks after birth
An Overview of the Health Breeding of the Cardigan Welsh Corgi How many of these litters required a caesarean section? (Even if the majority of pups were free whelped) In the following table please use the drop-down menus to give the reasons for any c-sections that your litters have required. Treat each row as a separate caesarian if answering with other please exp on this in the adjacent box. Elective/Emergency Reason if elective Reason if emergency If other please exp on this Section C: Birth defects conditions apparent in puppies up to 8 weeks old If any of your puppies, have been affected with a condition that is apparent within the first 8 weeks of life please include it in this section. State the number of litters affected the number of puppies affected in total. Use the table below. Condition Number of puppies affected in total Cleft Palate/Cleft Lip Other Developmental Abnormalities: Canine Herpes Virus Infection Number of litters (even if only one pup) Number of puppies affected in total The year this occurred last Other Infections: Fading Puppy Syndrome Other:
An Overview of the Health Breeding of the Cardigan Welsh Corgi What other conditions of any type have you experienced in your litters? Section F: Any additional comments If you have comments you wish to make on this questionnaire, the study, or specific issues that you feel are important to the breed, please type them in the space provided below: Please feel free to use additional sheets, but clearly mark each one with the question section. Thank you for taking the time to fill in this questionnaire. Please email the completed questionnaire to health@cardiganwelshcorgiassoc.co.uk or post the completed questionnaire to Karen Hewitt, 1 St. Marks Ave, Bilton, Rugby, Warks, CV22 7NP by Saturday 16 th April 2016 If you have any difficulties filling in this document, please don t hesitate to contact Karen Hewitt 07815 876122 or 07815 876122, Brenda Piears 01432 266103 or Sarah Taylor 01903 714368