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BEAM-ionbox and Vitality Study pre-questionnaire
This study is designed to determine the effectiveness of negative ion therapy on your pet's BEAM (Behavior, Energy, Appetite and Mood), Vitality, quality of life and happiness. Please read more here:
https://bit.ly/3kiBGql
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* Indicates required question
Email
*
Your email
Is Your Pet a Dog or a Cat?
*
Dog
Cat
How Old Is Your Pet:
*
0-5
5-10
10-15
15 or older
What Is His/Her Name, Breed and Sex?
Your answer
Does Your Pet Have any Current Health Challenges?
Yes
No
Clear selection
Please List Any Dis-ease Symptoms or Diagnoses:
Your answer
Please list any abnormal test results :
Your answer
In the past 8 weeks has your pet experienced any episodes that lasted more than 6 hours of decreased interactivity, lowered energy, poor appetite, or change in demeanor?
*
Yes
No
Which best describes 75% or your pets' diet:
*
Dry commercial food
Canned commercial food
Fresh ("human") food of any kind
Raw food
In the past 8 weeks has your pet experienced any episodes of decreased interactivity, lowered energy, poor appetite, or change in demeanor?
*
Yes
No
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