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Durwell Product Feedback - Vet
This short questionnaire will help us better understand your horse's needs.
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Email
*
Your email
What is your name?
*
Your answer
What is the horse's name?
*
Your answer
What is the horses breed?
*
Your answer
What is the horse's age (in years)?
*
Your answer
What is the horse's withers height?
*
Your answer
What is the horse's gender
*
Mare
Stallion
Gelding
What is the primary diagnosis?
*
Your answer
Pertinent History (include secondary diagnosis)?
*
Your answer
Date of most recent relapse?
*
MM
/
DD
/
YYYY
Does the horse currently receive any medications (please include dosage if possible)
Your answer
Please let us know what feedback you have on the product's efficacy in this horse. If possible we would love to see a video before and after using the product.
*
Your answer
A copy of your responses will be emailed to the address you provided.
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