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Clumber Spaniel Lifespan Survey
We would like your help to get a better estimate of the life expectancy of Clumber Spaniels and to get a greater understanding of causes of death in our breed.
This survey should take less than five minutes to complete.
All information given will be kept strictly confidential and no personal information will be shared with other parties.
Thank you for your time.
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* Indicates required question
Email
*
Your email
What was your dogs pet name?
*
Your answer
What was their Kennel Club Registered name? (optional)
Your answer
Was your dog male or female?
*
Female
Male
What was your dogs date of birth?
*
MM
/
DD
/
YYYY
What was the date your dog passed away?
*
MM
/
DD
/
YYYY
Was your dog euthanised? (your vet helped them pass)
*
Yes
No
What was the cause of your dog passing away?
*
Old age/ There was no specific diagnosis
An accident
Cancer
Heart condition
Liver or kidney failure
Other disease or condition (please specify below)
If 'other' was selected in previous question, please specify here.
Your answer
Could you please give more information? Eg how long they had been ill for, type of accident, area affected, diagnosis, how illness or condition progressed.
*
Your answer
Where do you live?
*
United Kingdom
United States of America
Mainland Europe
Australia
Other (please specify) in next box
If 'other', please specify country here.
Your answer
Thank you for your time to fill in this survey. If we have any additional questions, do we have permission to email you?
*
yes
No
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