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Dog Park Wellness
Veterinarians
Pet Safety Tips
Pet Care Promise
Gentle Pet Care
Dog Park Wellness
Veterinarians
Pet Safety Tips
Pet Care Promise
Gentle Pet Care
Pet Owner Survey
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*
" indicates required fields
Owner Details
First Name (Optional)
Phone (Optional)
Email
*
Enter Email
Confirm Email
City (Optional)
State (Optional)
Zip
*
I would like for you to forward me information for a pet care professional in my area?
*
Yes
No
You are welcome to forward this information to a pet care professional in my area to review and contact me?
*
Yes
No
Dog Information
Your Dog's Name
Dog's Age
Less than 1 Year Old
1 - 3 Years Old
4 - 7 Years Old
8 - 10 Years Old
11 -13 Years Old
14 - 17 Years Old
18 - 20 Years Old
20+ Years Old
Dog Breed
Beagle
Bichons Frises
Boxer
Bulldog
Collies & Border Collies
Corgi
Dachshunds
Dalmatians
French Bulldog
Golden Retrievers
German Shepherd
Greats Danes
Hounds
Labrador Retrievers
Maltese
Malimutes
Newfoundlands
Pointers
Pomeranians
Poodle
Pugs
Retrievers
Rottweilers
Schnauzers
Shepherds
Siberian Huskies
Spaniels
Terriers
Other / Multi-Mix
Select most prominent dog breed, if you are not sure select other.
Dog's Weight
0-5 lbs
6- 10 lbs
11 - 15 lbs
16 - 25 lb
26 - 50 lbs
51 - 75 lbs
76 - 100 lbs
100 - 125 lbs
126 - 150 lbs
151 +
How did you come to own your dog?
Adopted
Breeder
Found
Given
Purchased from Pet Store
Dog Allergies & Reactions
Please complete our quick survey to help us gather information about your dog's allergic reactions. Your insights are crucial in helping us provide effective allergy management tips and solutions.
Allergens and toxins can create symptoms in your dog by their immune system reacting to these toxins or allergens.
These symptoms indicate your dog's immune system may be trying to 'fix' the problem.
When you notice these, it can be helpful to remove potential suspect allergens or toxins and which may help your dogs immune system get back to a normal balance.
Once you remove the suspect allergin or toxin, it may take some time for your dog to resolve the issue and return to normal balance.
Does you dog have any of these symptoms? Please check all that apply.
None
Chews Paws/ Red Paws
Itching or Scratching A Lot
Red Anal Areas
Red Ears
Red Groin Area - Red Skin Underneath
Red Snout Area
Drooling or Hyper Salivation
Lethargy - Low Energy
Walks Uncertain or Seems Confused
Seizures
Behavioral Uncertainty
Diarrhea
Ataxia or Anaphylaxis
If no symptoms, please click none
When you give your pet a medicine or drug, it is important to read the instructions prior to using. Once your pet starts a drug it is important to pay close attention to your dog to see if there is any changes in their behavior or any symptoms of concern.
What is your Dog Taking?
Anti-anxiety or behavioral calming?
Yes
Yes, a Natural Anti-Anxiety Calming Chew
No
Immune Suppressing?
Yes
Yes, a Natural Immune Support Product
No
Anti-itch Drugs?
Yes
Yes, a Natural Anti-Itch Product
No
Anti-Inflammatory?
Yes
Yes, a Natural Anti-Inflammatory Product
No
Monthly Heartworm Prevention?
Yes, Pill
No
Flea and tick preventative?
Pill
Collar
Natural Topical Sprays
None
If you answered yes to any of the questions above, please list the brand(s).
Did you know or has your veterinarian let you know there are natural solutions that might work for some of these above issues and be less risky?
Yes
No
Would you prefer natural solutions first over more chemical solutions if less risk is associated with the natural product?
Yes
No
When you decide to give your pet a drug, product or vaccine, what is the most potential risk (0-10% risk) you would feel is acceptable to tolerate a severe adverse reaction such as seizures, ataxia (loss of balance, coordination confusion)?
Please adjust the slider bar to your desired level of potential risk you are ok with
When you decide to give your pet a drug, product or vaccine, what is the most potential risk (0-10% risk) you would feel is acceptable to tolerate a severe adverse reaction such as death?
Please adjust the slider bar to your desired level of potential risk you are ok with
Your Dog's Nutrition
Take our brief survey on your dog’s nutrition and food preferences. Your feedback will guide us in providing targeted dietary advice and product suggestions.
What describes your pet's diet?
Kibble Food
Home Cooked
Special Diet
Canned Good
Prepared Food
Do you give your dog any nutritional supplements or vitamins?
Yes
No
Do you monitor how much your pet eats per day?
Yes
No
How many times per day do you feed your pet?
1
2
3
Open Feeding
Pet Care Products & Packaging
How well do you look at your dog's product packaging and pet owner reviews?
Even though some pet products are well known to cause adverse reactions and some products clearly mention warnings that the products may have a risk of causing harmful adverse reactions such as; ataxia, anaphylaxis, lethargy, upset stomach, seizures and even death, some pet care providers and some retailers still market, prescribe, promote and sell these products.
This leaves YOU as your pets caretaker to make sure the product meets YOUR safety standards on how much risk you are willing to expose your pet(s) to.
Do you read the drug packaging instructions and read pet owner Reviews before giving your pet a drug, oral or topical product?
Yes
No
Do you research symptoms your dog may be having prior to seeing anyone about it?
Yes
No
Pet Care Services
How satisfied are you with your veterinarian?
Currently looking for a new vet.
Not Happy. I am looking for a new one.
Satisfied, but open for new solutions.
Very Happy with my vet.
If you are not happy with your vet, why not? Please check all that apply.
Doesn't listen to my direction or allow me to ask questions.
Personality is not in line with my needs.
Doesn't review risk of procedures of products with me.
Always trying to sell me products or vaccines.
Doesn't spend time with my pet.
Cannot seem to solve problems when they arise.
Doesn't explain things in enough detail.
Other
If other, please explain
Do you prefer a smaller vet clinic (1 or 2 vets) or a larger vet clinic (2+ vets)?
Smaller
Larger
Does your vet spend time with you reviewing the drug packaging warnings, pet owner reviews, and risk evaluation on drugs and giving you the choice to say yes or no to using the drug after evaluating the risk?
Yes
No
Would you prefer to use a veterinarian that practiced the safest 'lowest risk of adverse reaction' on my pet?
Yes
No
Vaccinations
Please fill out our brief survey on your dog’s vaccination history. Your input will help us offer personalized vaccination advice and timely reminders.
Do you read about vaccines and medicines and pet owner reviews before deciding on procedures you will allow on your pet?
Yes
No
Are you aware some vaccines come in different quality levels?
Yes
No, I was not aware.
Are you aware of titer anti-body testing to check your dog's protective immunity status to a disease prior to vaccinating them?
Yes
No, I was not aware about titer.
Some clinics give multiple vaccines together in one shot, vaccinate more frequently than needed and/or use lower quality vaccine products, are you aware these things may increase your pets chance of having an adverse reaction?
Yes
No, I was not aware.
Exercise & Activity
Take our quick survey to share how you keep your dog active. Your experiences will help us provide tailored exercise tips and activity suggestions.
Do you walk regularly / daily with your dog?
Yes
No
If so, for how many minutes per day total?
30 - 45
60 - 90
90 - 120
120+
or miles per day?
1 mile or less
1 - 3 miles
3 - 5 miles
5 + miles
Does your pet get daily exercise (45+ minutes per day)
Yes
No
When you exercise with your pet please describe:
Walking or running on leash
Off leash walking or running
Dog parks
Bike rides
Group Play
Take our quick survey to share how your dog plays. Your experiences will help us provide tailored group play tips and suggestions.
Do you take your dogs to dog parks?
Yes
No
If yes, how reguarly do you go to a dog park?
1 / week
2 / week
3 / week
4 / week
5 / week
6+ / week
I dont go to dog parks because
I don't have a good one near me
They require too many vaccines
My dog does not like other dogs
Don't have the time in my schedule
I am fearful of other dogs hurting me or my dog
Play groups are too big
Worried my dog will get sick from other dogs
Do you take your dog to doggie daycare or kennel your dog?
Yes
No
If no, please let us know why you don't take them
I dont have a good one near me
They require too many vaccines
My dog does not like other dogs
Don't have the time in my schedule
Play groups are too big
Worried my dog will get sick from other dogs
I do not have the extra money
I am fearful my dog will get hurt by other dogs or the staff
Does your pet like to play with other dogs?
Yes
No
Does your pet like to play with people?
Yes
No
Which commands does your dog know?
Jump
Stay
Down
Shake
Sit
Paw
Roll-Over
Does your dog do anything really extraordinary - please tell us
Traveling with Your Dog
Please take a moment to fill out our short survey on traveling with your dog. Your responses will help us provide you with customized travel tips and recommendations.
Do you go to dog parks when you travel?
Sometimes
Never
Do you fly with your dog?
Sometimes
Never
I would, if they made it easier
Do you take your dogs on road trips?
Sometimes
Never
Do you take your dog on family vacations?
Sometimes
Never
CAPTCHA
"
*
" indicates required fields
Owner Details
First Name (Optional)
Phone (Optional)
Email
*
Enter Email
Confirm Email
City (Optional)
State (Optional)
Zip
*
I would like for you to forward me information for a pet care professional in my area?
*
Yes
No
You are welcome to forward this information to a pet care professional in my area to review and contact me?
*
Yes
No
Dog Information
Your Dog's Name
Dog's Age
Less than 1 Year Old
1 - 3 Years Old
4 - 7 Years Old
8 - 10 Years Old
11 -13 Years Old
14 - 17 Years Old
18 - 20 Years Old
20+ Years Old
Dog Breed
Beagle
Bichons Frises
Boxer
Bulldog
Collies & Border Collies
Corgi
Dachshunds
Dalmatians
French Bulldog
Golden Retrievers
German Shepherd
Greats Danes
Hounds
Labrador Retrievers
Maltese
Malimutes
Newfoundlands
Pointers
Pomeranians
Poodle
Pugs
Retrievers
Rottweilers
Schnauzers
Shepherds
Siberian Huskies
Spaniels
Terriers
Other / Multi-Mix
Select most prominent dog breed, if you are not sure select other.
Dog's Weight
0-5 lbs
6- 10 lbs
11 - 15 lbs
16 - 25 lb
26 - 50 lbs
51 - 75 lbs
76 - 100 lbs
100 - 125 lbs
126 - 150 lbs
151 +
How did you come to own your dog?
Adopted
Breeder
Found
Given
Purchased from Pet Store
Dog Allergies & Reactions
Please complete our quick survey to help us gather information about your dog's allergic reactions. Your insights are crucial in helping us provide effective allergy management tips and solutions.
Allergens and toxins can create symptoms in your dog by their immune system reacting to these toxins or allergens.
These symptoms indicate your dog's immune system may be trying to 'fix' the problem.
When you notice these, it can be helpful to remove potential suspect allergens or toxins and which may help your dogs immune system get back to a normal balance.
Once you remove the suspect allergin or toxin, it may take some time for your dog to resolve the issue and return to normal balance.
Does you dog have any of these symptoms? Please check all that apply.
None
Chews Paws/ Red Paws
Itching or Scratching A Lot
Red Anal Areas
Red Ears
Red Groin Area - Red Skin Underneath
Red Snout Area
Drooling or Hyper Salivation
Lethargy - Low Energy
Walks Uncertain or Seems Confused
Seizures
Behavioral Uncertainty
Diarrhea
Ataxia or Anaphylaxis
If no symptoms, please click none
When you give your pet a medicine or drug, it is important to read the instructions prior to using. Once your pet starts a drug it is important to pay close attention to your dog to see if there is any changes in their behavior or any symptoms of concern.
What is your Dog Taking?
Anti-anxiety or behavioral calming?
Yes
Yes, a Natural Anti-Anxiety Calming Chew
No
Immune Suppressing?
Yes
Yes, a Natural Immune Support Product
No
Anti-itch Drugs?
Yes
Yes, a Natural Anti-Itch Product
No
Anti-Inflammatory?
Yes
Yes, a Natural Anti-Inflammatory Product
No
Monthly Heartworm Prevention?
Yes, Pill
No
Flea and tick preventative?
Pill
Collar
Natural Topical Sprays
None
If you answered yes to any of the questions above, please list the brand(s).
Did you know or has your veterinarian let you know there are natural solutions that might work for some of these above issues and be less risky?
Yes
No
Would you prefer natural solutions first over more chemical solutions if less risk is associated with the natural product?
Yes
No
When you decide to give your pet a drug, product or vaccine, what is the most potential risk (0-10% risk) you would feel is acceptable to tolerate a severe adverse reaction such as seizures, ataxia (loss of balance, coordination confusion)?
Please adjust the slider bar to your desired level of potential risk you are ok with
When you decide to give your pet a drug, product or vaccine, what is the most potential risk (0-10% risk) you would feel is acceptable to tolerate a severe adverse reaction such as death?
Please adjust the slider bar to your desired level of potential risk you are ok with
Your Dog's Nutrition
Take our brief survey on your dog’s nutrition and food preferences. Your feedback will guide us in providing targeted dietary advice and product suggestions.
What describes your pet's diet?
Kibble Food
Home Cooked
Special Diet
Canned Good
Prepared Food
Do you give your dog any nutritional supplements or vitamins?
Yes
No
Do you monitor how much your pet eats per day?
Yes
No
How many times per day do you feed your pet?
1
2
3
Open Feeding
Pet Care Products & Packaging
How well do you look at your dog's product packaging and pet owner reviews?
Even though some pet products are well known to cause adverse reactions and some products clearly mention warnings that the products may have a risk of causing harmful adverse reactions such as; ataxia, anaphylaxis, lethargy, upset stomach, seizures and even death, some pet care providers and some retailers still market, prescribe, promote and sell these products.
This leaves YOU as your pets caretaker to make sure the product meets YOUR safety standards on how much risk you are willing to expose your pet(s) to.
Do you read the drug packaging instructions and read pet owner Reviews before giving your pet a drug, oral or topical product?
Yes
No
Do you research symptoms your dog may be having prior to seeing anyone about it?
Yes
No
Pet Care Services
How satisfied are you with your veterinarian?
Currently looking for a new vet.
Not Happy. I am looking for a new one.
Satisfied, but open for new solutions.
Very Happy with my vet.
If you are not happy with your vet, why not? Please check all that apply.
Doesn't listen to my direction or allow me to ask questions.
Personality is not in line with my needs.
Doesn't review risk of procedures of products with me.
Always trying to sell me products or vaccines.
Doesn't spend time with my pet.
Cannot seem to solve problems when they arise.
Doesn't explain things in enough detail.
Other
If other, please explain
Do you prefer a smaller vet clinic (1 or 2 vets) or a larger vet clinic (2+ vets)?
Smaller
Larger
Does your vet spend time with you reviewing the drug packaging warnings, pet owner reviews, and risk evaluation on drugs and giving you the choice to say yes or no to using the drug after evaluating the risk?
Yes
No
Would you prefer to use a veterinarian that practiced the safest 'lowest risk of adverse reaction' on my pet?
Yes
No
Vaccinations
Please fill out our brief survey on your dog’s vaccination history. Your input will help us offer personalized vaccination advice and timely reminders.
Do you read about vaccines and medicines and pet owner reviews before deciding on procedures you will allow on your pet?
Yes
No
Are you aware some vaccines come in different quality levels?
Yes
No, I was not aware.
Are you aware of titer anti-body testing to check your dog's protective immunity status to a disease prior to vaccinating them?
Yes
No, I was not aware about titer.
Some clinics give multiple vaccines together in one shot, vaccinate more frequently than needed and/or use lower quality vaccine products, are you aware these things may increase your pets chance of having an adverse reaction?
Yes
No, I was not aware.
Exercise & Activity
Take our quick survey to share how you keep your dog active. Your experiences will help us provide tailored exercise tips and activity suggestions.
Do you walk regularly / daily with your dog?
Yes
No
If so, for how many minutes per day total?
30 - 45
60 - 90
90 - 120
120+
or miles per day?
1 mile or less
1 - 3 miles
3 - 5 miles
5 + miles
Does your pet get daily exercise (45+ minutes per day)
Yes
No
When you exercise with your pet please describe:
Walking or running on leash
Off leash walking or running
Dog parks
Bike rides
Group Play
Take our quick survey to share how your dog plays. Your experiences will help us provide tailored group play tips and suggestions.
Do you take your dogs to dog parks?
Yes
No
If yes, how reguarly do you go to a dog park?
1 / week
2 / week
3 / week
4 / week
5 / week
6+ / week
I dont go to dog parks because
I don't have a good one near me
They require too many vaccines
My dog does not like other dogs
Don't have the time in my schedule
I am fearful of other dogs hurting me or my dog
Play groups are too big
Worried my dog will get sick from other dogs
Do you take your dog to doggie daycare or kennel your dog?
Yes
No
If no, please let us know why you don't take them
I dont have a good one near me
They require too many vaccines
My dog does not like other dogs
Don't have the time in my schedule
Play groups are too big
Worried my dog will get sick from other dogs
I do not have the extra money
I am fearful my dog will get hurt by other dogs or the staff
Does your pet like to play with other dogs?
Yes
No
Does your pet like to play with people?
Yes
No
Which commands does your dog know?
Jump
Stay
Down
Shake
Sit
Paw
Roll-Over
Does your dog do anything really extraordinary - please tell us
Traveling with Your Dog
Please take a moment to fill out our short survey on traveling with your dog. Your responses will help us provide you with customized travel tips and recommendations.
Do you go to dog parks when you travel?
Sometimes
Never
Do you fly with your dog?
Sometimes
Never
I would, if they made it easier
Do you take your dogs on road trips?
Sometimes
Never
Do you take your dog on family vacations?
Sometimes
Never
CAPTCHA
