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LOAD Follow Up Visit

Please complete this questionnaire before your follow up visit

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Pet Details

Mobility

Generally

How is your dog’s mobility in general?:
How disabled is your dog by his/her lameness?:
How active is your dog?:
What is the effect of cold, damp weather on your dog’s lameness?:
To what degree does your dog show stiffness in the affected leg after a ‘lie down’?:
At exercise, how active is your dog?:
How interested is your dog in exercising?:

At exercise

How would you rate your dog’s ability to exercise?:
What overall effect does exercise have on your dog’s lameness?:
How often does your dog rest (stop/sit down) during exercise?:
What is the effect of cold, damp weather on your pet’s ability to exercise?:
To what degree does your dog show stiffness in the affected leg after a ‘lie down’ following exercise?:
What is the effect of your dog’s lameness on his/her ability to exercise?:
Security Question: