The aim of this questionnaire is to investigate the occurrence, prevalence and source of injuries in dogs which take part in agility.

PLEASE NOTE THIS IS FOR BOTH HEALTHY AND INJURED DOGS.

If you have any further questions about the questionnaire please contact: James.Oxley@thekennelclub.org.uk

Please note: we will only use your details to follow up about your questionnaire and they WILL NOT be captured and used for any marketing purposes

All results will be kept private and confidential.

PLEASE FILL OUT ONE QUESTIONNAIRE PER DOG.

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* 1. If you wish to take part in further research relating to injuries in agility dogs please state Yes or No.

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* 2. If Yes, Please provide your Name and Email:

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* 3. If you would like to enter the draw for Crufts tickets please provide your email address below or state as above if you have already provided your email address.

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* 4. How many dogs do you own?

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* 5. Questionnaire for dog number? (please complete a questionnaire for each dog)

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* 6. Dog Registration Number (e.g. KC, UKA, if applicable)
(Why do we want this? This is to prevent duplicate dogs)

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* 7. Dog Sex:

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* 8. Dog Breed:

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* 9. Dog's Age:

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* 10. Dog's date of birth:

Date

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* 11. Please specify what height category your dog is in (where applicable):

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* 12. What height is your dog (cm)? (if known)

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* 13. Dog's weight (Kg)? (if known)

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* 14. Is your dog involved in any other disciplines?

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* 15. On average how often do you undertake agility training with your dog?

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* 16. Approximately how long on average is each agility training session?

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* 17. At what age was your dog when you started agility training with it?

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* 18. In relation to Q16, how long have you been training your dog to do agility?

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* 19. At what age was this dog when you started competing in agility with it?

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* 20. How many days per calendar year do you compete at agility shows? (A weekend show counts as 2 days, for a week long show count days on which you were competing only)

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* 21. Do you warm your dog up before training and/or competition?

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* 22. If 'Yes' or 'Sometimes', what method of warm up do you use (e.g. stretching, walking, etc)?

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* 23. Do you warm down your dog after training and/or competition?

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* 24. If 'Yes' or 'Sometimes', what method of warm down do you use (e.g. stretching, walking, etc)?

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* 25. Has your dog been injured in the past five years?

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* 26. If Yes, the following questions relate to injuries which have occured to your dog. Please fill out one questionnaire per dog

What agility grade was your dog when injured?
(If more than one injury please state Injury 1 - Explain; Injury 2 - Explain, etc)

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* 27. Has your dog been injured when doing agility?

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* 28. How old was your dog when injured?
(If injured more than once please state ages e.g. 11 months, 2.5 years etc):

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* 29. During what session was your dog injured?:

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* 30. Please describe how your dog was injured?:

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* 31. If injured as a result of equipment, please state which piece of equipment was involved:
(If more than one injury please use "other box", e.g. Injury 2 - A-Frame - Explain)

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* 32. If your dog was injured on a contact piece of equipment what type of surface was it:

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* 33. If injured as a result of equipment could you please state what part of the equipment the dog was injured on? (If more than one injury please state 'Injury 1', 'Injury 2' etc.)

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* 34. Weather condition during injury?
(If more than one injury please state additional injuries in "other box")

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* 35. What was the floor surface & condition where injury occurred?
(If more than one injury please state additional injuries in "other box", e.g. Injury 2 - Grass - Dry)

  Dry Wet & Soft Wet & Hard Frozen Muddy
Grass
Artificial Grass
Sand
Rubber
Equine arena
Concrete

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* 36. Please state the body region where the dog was injured?
(If more than one injury please state Injury 1, Injury 2, etc)

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* 37. Has this region been injured before?

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* 38. What was the type of injury?

  Injury 1 Injury 2
Broken/fracture Bone
Muscle Strain/Pull
Ligament damage
Abrasion
Cut

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* 39. Did you seek medical/veterinary attention as a result of this injury?
(If more than one Injury please use "additional injuries" box and explain)

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* 40. What treatment did the dog receive (if any) as a result of the injury?
(please state Injury 1, Injury 2, etc)

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* 41. When did your dog return to agility training following the injury?
(If more than one injury please state Injury 1 - Explain, Injury 2 - Explain)

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* 42. Do you have any comments or concerns regarding agility?

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