I am a: (Check all that apply) Commercial kennel owner Trainer Dog owner Other
If other, please specify
Tell us about your experience
How long have you been responsible for the care of dogs? Please Select Less than 1 year 1 year 2 years3 years4 years5 years6 years7 years8 years9 years10 years11 years12 years13 years14 years15 years16 years17 years18 years19 years20 years21 years22 years23 years24 years25 years26 years27 years28 years29 years30 years31 years32 years33 years34 years35 years36 years37 years38 years39 years40 years41 years42 years43 years44 years45 years46 years47 years48 years49 years50 years51 years52 years53 years54 years55 years56 years57 years58 years59 years60 years61 years62 years63 years64 years65 years66 years67 years68 years69 years70 years71 years72 years73 years74 years75 years76 years77 years78 years79 years80 years81 years82 years83 years84 years85 years86 years87 years88 years89 years90 years91 years92 years93 years94 years95 years96 years97 years98 years
Tell us about your kennel/dogs
What is the average number of dogs housed at your kennel/home in the past 12 months?
What is the average length of time dogs were housed at your kennel/home in the past 12 months? Please Select Less than 1 month 1 month 2 months3 months4 months5 months6 months7 months8 months9 months10 months11 months12 months
What age was the youngest dog in your kennel/home during the past 12 months? Days Months Years
What age was the oldest dog in your kennel/home during the past 12 months? Days Months Years
During the past year, between what months did you see mosquitoes? Select Month January February March April May June July August September October November December to Select Month January February March April May June July August September October November December
Do you use any of the following methods to protect dogs from mosquitoes during the mosquito season? (Check all that apply) Topical mosquito repellents applied to the dog(s) Chemicals applied to the environment Screening the kennel Taking dogs indoors during the time when mosquitoes are active Other
Is your kennel located within 100 yards of any of the following? (Check all that apply) Stream Pond Low lying area with occasional standing water Collections of old tires, woodpiles or other debris None of the above
During the months when mosquitoes are present
What is the average number of hours per day that your dogs spend outdoors? Please Select Less than 1 hour 1 hour 2 hours3 hours4 hours5 hours6 hours7 hours8 hours9 hours10 hours11 hours12 hours13 hours14 hours15 hours16 hours17 hours18 hours19 hours20 hours21 hours22 hours23 hours24 hours
Are the dogs usually outdoors at dusk? Yes No
Are the dogs usually outdoors at dawn? Yes No
Are the dogs usually outdoors after dark? Yes No
Do you give heartworm preventive to dogs under your care? Yes No
The following questions apply to heartworm preventive medications. If you do not give heartworm preventive to dogs in your care, please skip to Question 19
What brand(s) of heartworm medication have you used in the past 12 months? (Check all that apply) Advantage Multi Heartgard Heartgard Plus Interceptor Flavor Tabs Iverhart Iverhart Max Iverhart Plus Revolution Sentinel Flavor Tabs Tri-Heart Plus Other
What is the current brand that you prefer? Please Select Advantage Multi Heartgard Heartgard Plus Interceptor Flavor Tabs Iverhart Iverhart Max Iverhart Plus Revolution Sentinel Flavor Tabs Tri-Heart Plus Other
How long have you been using your preferred brand of heartworm preventive? Months Years
How do you decide on the brand(s) of heartworm prevention product to use? (Check all that apply) Advice from veterinarian Talking with other dog breeders/trainers/owners Advertisements in magazines Other
How do you decide when to begin giving heartworm preventive medication? (Check all that apply) I give heartworm prevention medication all year. I start giving heartworm preventive medication each year based on advice from my veterinarian I begin giving medication when I see the first signs of mosquito activity I start giving heartworm preventive medication routinely the same day each year
If you start giving heartworm preventive medication routinely the same day each year, please specify the date you begin. Select Day 123456789101112131415161718192021222324252627282930 Select Month January February March April May June July August September October November December
If you do not begin giving heartworm preventive medicine based on any of the above, but on other considerations, please specify.
How do you decide when to stop using heartworm preventive medication each year? (Check all that apply) I give heartworm prevention medication all year. I stop giving heartworm preventive medication each year based on advice from my veterinarian I stop medication when I don't see any more signs of mosquito activity I stop giving heartworm preventive medication routinely on the same day each year
If you stop giving heartworm preventive medication routinely on the same day each year, please specify the date you stop. Select Day 12345678910111213141516171819202122232425262728293031 Select Month January February March April May June July August September October November December
If you do not stop giving heartworm preventive medicine based on any of the above, but on other considerations, please specify.
How do you decide on the dose of heartworm preventive medication to give? (Check all that apply) Read the package label and weigh each dog separately Read the package label and do not weigh, but estimate the weight of each dog Read the package label and give all dogs the same dose Veterinarian's advice and weigh each dog separately Veterinarian's advice and all dogs given the same dose Other
Do all dogs in your kennel receive heartworm preventive medication on the same day each month? Yes No
How do you remember what day each month to administer heartworm preventive? (Check all that apply) I give medication on the same day each month I write the date on the calendar or other record I remember when to give the medication each month Other
How do you administer heartworm medication? (Check all that apply) With food Place pills directly in mouth Other
Do you record (write down) each time heartworm preventive medication is given? (Check all that apply) Yes, for each dog Yes, date when all dogs are treated No, but I give the medication on the same day each month No, none of the above
Have you ever observed dogs to "spit out" heartworm medication or have you gone back and found a pill on the ground? Yes No
If yes, approximately how many times has this occurred in the past year?
Who gives the heartworm preventive medication? (Check all that apply) My veterinarian I do Employee Family member The same person gives medicine each time Two or more people are responsible for administering heartworm preventive
Do you test all dogs for heartworm prior to, or at the time of, introduction into the kennel population? Yes No
Do you routinely test a second time after a new dog is introduced into the kennel population? Yes No
If yes, how long after introduction into the kennel population do you wait to do the second test? Weeks Months
How often do you have dogs in your kennel tested for heartworm? Once a year Twice each year Every other year I do not test dogs under my care for heartworm Other
Did you test for heartworm in the last 12 months? Yes No
If yes, during what month did you perform the test? Select Month January February March April May June July August September October November December
If you performed a second test, during what month did you perform the test? Select Month I did not perform a second test January February March April May June July August September October November December
Who conducts the heartworm test on your dogs? My veterinarian Test is done by trained personnel employed by kennel Blood sample is sent to a commercial laboratory Other
What heartworm test was used to detect heartworm infection during the past 12 months? Antigen test and Screen look for microfilaria with filter or Knott's test Look for microfilaria with filter or Knott's test (only) Antigen test (only) Not sure what test(s) were used Did not test for heartworm in the past 12 months
If you switched heartworm preventive this year, did you test for heartworm prior to switching products? Yes No I did not switch products in the past 12 months.
If yes, did you do a second test? Yes No
If a second test was done, how long after the first test was this done? Weeks Months
Have you ever had a dog to test positive for heartworm after being on heartworm preventive for one or more seasons (years)? Yes No
If yes, have you had a dog to test positive after being on heartworm preventive during the past 12 months? Yes No
If yes, why do you think the heartworm prevention program failed?
Please use this space to list any additional comments you would like to make about heartworm prevention in dogs?
Please tell us who you are
Name
Street
City
State / Province / Region
Postal Code
Country or Region
Telephone number
E-mail address name@address.com
Will you allow us to contact you at a later date, by phone or e-mail, for additional information? Yes No
If yes, which form of contact do you prefer? Phone E-mail