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. 2015 Jul 19;370(1673):20140230. doi: 10.1098/rstb.2014.0230

Table 3.

Categories of survey questions included in the owner and veterinarian baseline surveys used in the GRLS.

owner baseline questionnaire
— owner's primary and secondary home address and contact information
— dog's pedigree and registration information on dog, dam and sire (if known)
— primary and secondary lifestyle (pet/companion, obedience, agility, service, breeder, etc.)
— travel history
— reproductive history
— physical activity (table provided to record types of activities)
— use of over-the-counter (OTC) medications
— use of products for flea and tick control and for heartworm prevention
— history and practice of dental hygiene at home
— grooming history and use of types of products
— diet and feeding practices
— environment, living conditions and exposures
— 100-question behavioural questionnaire (C-BARQ)
veterinary baseline questionnaire
— confirm age and gender of patient
— confirm microchip or tattoo
— indicate whether dog was fasting at time of examination and sample collection
— review the medical history of patient
— review the medical history of patient's dam
— review the medical history of patient's sire
— general findings from the physical examination including weight, height at withers and estimate of Purina Body Fat Index (BFI)
— identification of any abnormalities by 15 different organ systems
— identification of superficial masses by location and size, includes dermal map
— any current or previous medications
— any current or previous vaccines