Please answer if your dog has had an orthopedic injury

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* 1. How old is your dog?

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* 2. What is the approximate body weight of your dog? Please state whether this is pounds or Kgs

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* 3. Is your dog

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* 4. What breed is your dog? If more than one breed, please state 'mixed'

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* 5. Is your dog still actively running agility in class or at home?

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* 6. Are you competing at agility trials with your dog?

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* 7. Has your dog had orthopedic (bone, joint, muscle, tendon) surgery?

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* 8. When was the orthopedic surgery? (if your dog has had 2 or more surgeries for different problems please use the most recent)

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* 9. Regarding the orthopedic surgery, please check all that apply

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* 10. Did your dog go through rehabilitation therapy after the surgery?

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* 11. If you dog did NOT have surgery for the injury, did they go through rehabilitation therapy?

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* 12. If surgery was performed on a joint, please select the joint below

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* 13. Have you attended agility classes or trials with your dog within the last 2 months?

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* 14. Have you decreased the height that your dog jumps?

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* 15. If you have decreased the jump height for your dog please choose all reasons that apply

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* 16. Have you noticed any other decrease in performance (e.g. reluctance to enter or do full set of weaves, more slipping, slower run times etc.)

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* 17. Which world region do you live in?

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* 18. Do you have any other comments?

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