Illinois Veterinary Medical Association/Fort Dodge Lepto Survey
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1. Illinois Veterinary Medical Association Canine Leptospirosis Survey

 
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Thank you for taking time to answer questions about Canine Leptospirosis in Illinois. The Illinois Veterinary Medical Association has teamed with Fort Dodge Animal Health, through an educational grant to survey veterinarians throughout Illinois about the incidence of lepto in their clinic and local area. We will share the results with you through the ISVMA newsletter.

Some helpful tips:
-- The survey should take only a few minutes.
-- Please report cases in your clinic for the past THREE years
-- Only one response per clinic, please.
-- The survey will close at midnight on August 1.
-- All responses to the survey (one per clinic) will be entered into a random drawing. Responses must be received by Saturday, August 1, to be eligible. The drawing includes five items valued at $100 or more with the top incentive being a 32GB iPod touch.

Again, thank you for your time.
1. Tell us the number of dog(s) from your clinic suspected, tested or diagnosed with leptospirosis during the last THREE YEARS. Also, tell us if you referred any of these patients to a specialist.
Dogs SuspectedDogs TestedCases diagnosedReferred to Specialist
Select number of cases
2. From your response to question #1: Which county(s) were the dog(s) suspected and dog(s) diagnosed from?
Primary CountySecondary County
Select County of Dog(s) suspected
Select County of Dog(s) diagnosed
3. What number of dogs diagnosed were:
less than 25 pounds
25-50 pounds
51-75 pounds
more than 75 pounds
4. In what type of area did the dog(s) reside? (Check all that apply)