* 1. Name/ Identification (will remain confidential)

* 2. Short description of problems?

* 3. Vet Consulted

* 4. Any previous disease problems?

* 5. Feeding regime - details of feeds used particularly any changes prior to start of problems – corn, roots, hay etc?

* 6. Housing

* 7. Do you routinely employ good biosecurity techniques (do you isolate new introductions to the stud and I so for how long)?

* 8. Any further useful information

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