WELCOME TO THE HEALTH
SURVEY OF
THE NORWEGIAN BUHUND
The health survey consists of 3 parts. Check your information before you proceed from part 1
to part 2 and from 2 to 3. You will not be able to backtrack to previous parts without deleting
all information.
Certain illnesses are very infrequent in the race. If you are unfamiliar with the term of an
illness, just skip the question. Whoever has had such a rare disease, would be familiar with the
term.
When finally you press ”Send svar”, you will see an empty form. This means that the
registration is complete. In case you have additional dogs, just carry on with dog no. 2. If not
we thank you for your contribution!
Part 1 of 3 - GENERAL INFORMATION
This part is confidential and remains with the Norwegian Veterinary University! The
information on the dog is necessary to check as to the correctness of race and to eliminate the
possibility of the same dog participating in the survey more than once. This information also
enables the Norwegian Veterinary University to contact the owner so as to eradicate possible
misunderstanding. This particular information on your dog will not be included in the survey
which will thus be totally anonymous.
Dog´s name (Pedigree name or nickname):
Dog´s reg.no:
Owner´s name:
Country:
Choose “Andre”
Owner´s e-mail-address:
Owner´s tel.no:
Dog´s approximate age in years and months (select from list):
Or date of birth (use this date format: 01.12.2009 (= 01. December 2009)
Gender:
Male dog
She-dog
Castrated/sterilized:
Yes
No
Is the respondent the person with daily contact with the dog (owner/carer)?
Yes
person
No, but in agreement with owner/carer
Other
If "Other person", submit e-mail address
Dog´s condition
Skinny
Slim
Medium/Normal
Slightly overweight
Obese
Have you owned your dog since it was a puppy?
Yes, got it appr.8 weeks old
appr.6-12 months old
Yes, got it appr.9 weeks-4 months old
No, got it
No, got it appr. 1 year old
May the Norwegian Veterinary University contact the owner for additional
information/questions regarding the survey?
Yes
No
At times the Veterinary University needs blood samples from dogs with specific illnesses.
Would you be willing to submit such a sample for research purposes?
Yes, willingly
No
Have blood samples been taken in connection with the Norwegian Buhund Project?
No
Yes
Check your information thoroughly before proceeding to next part of the survey. The form will be
nullified if you try to go back later.
GO TO PHYSICAL HEALTH
(you cannot backtrack)
Part 2 of 3 – PHYSICAL HEALTH
How would you assess your dog´s general health condition?
Excellent
Good
Average
Poor
Very poor
SKIN-FUR-EARS
Has your dog ever had long-lasting/serious problems with skin/fur/ears? Symptoms can be
hair loss, itching or skin problems such as acne, blisters or scabbiness.
Yes
No
If yes, tick off
Recurrent skin problems
Recurrent ear infections
Exaggerated moult/hair loss
Anal gland problems
Blocked sebaceous gland
Parasites
Demodex
Furunculosis
Itch/skin irritation
Skin tumour
If your dog has been diagnosed with Demodex, tick off point in time and distribution of
lesions:
Partial
Major part of body Had it as a puppy
Had it as an adult dog
Has the dog got the diagnose allergy /atopy?
No
YES, with a positive blood sample
test
YES, symptoms only
Uncertain
YES, with a positive skin prick
If YES in the previous question: any symptoms of allergy?
Recurrent ear infection
Recurrent skin infection
Itch
Vomit
Has your dog had wet eczema (“hot spots”)?
No
Yes, less than once a year
Yes, appr. once a year
once a year
Diahorrea
Yes, more frequently than
METABOLISM
Has your dog had constant or serious metabolic problems? Symptoms can be vomiting,
diahorrea, constipation, weight loss ,appetite changes.
Yes
No
If YES, tick off any of the following teeth disorders
Did not lose milk teeth as a puppy
Underbite, long upper jaw
lacking
Overbite, long upper jaw
Crossbite
Teeth
Does your dog have megaoesophagus (enlarged oesophagus)?
Yes
No
Tick off any of the following stomach/intestine (gastrointestinal) disorders:
Frequent diahorrea
Frequent vomitting
Frequent abdominal pain
Stomach
enlargement/volvulus
Serious intestinal infection (eg. Parvovirus)
(Stomach (Gastric)
ulcer/Gastritis
Foreign objects
Chronic diahorrea
Has your dog had any liver disorder?
YES
NO
Tick off any of the following pancreatic problems
Reduced function (EPI)
Infection- Pancreatitis
Tick off if your dog has had hernia
Umbilical hernia
Inguinal hernia
SOME QUESTIONS ON NUTRITION
How often do you use dry nutrition (dry-foods)?
Never- / very seldom
Seldom
Occasionally
Often
Daily
How often do you use fresh/frozen nutrition?
Never- / very seldom
Seldom
Occasionally
Often
Daily
How often do you use leftovers?
Never- / very seldom
Seldom
Often
Daily
Occasionally
How often do you give chewables, pork ears etc.?
Never- / very seldom
Seldom
Occasionally
Often
Daily
THE CARDIO-VASCULAR SYSTEM
Has your dog had any heart disorder symptoms? (eg. collapse, reduced endurance or breathing
difficulties)
YES
NO
If YES, tick off any heart disorders known to you
Congenital heart disease
Cardiac muscle disorder
Cardiac dysrhythmia
(arrhythmia)
Heart murmur
Heart failure
Valvular defect
If valvular defect, are you familiar with the diagnosis?
NO
I can look it up
stenosis
Endocardiosis
Pulmonal stenosis
Aorta
RESPIRATORY DISORDERS
Has your dogs had any symptoms of respiratory disorder (nose, windpipe, lungs)?
(eg. Breathing difficulties, coughing, running nose, sneezing, panting)
NO
YES
If YES, tick off disorders known to you
Nose catarrh (rhinitis)
Nasal mites
Kennel cough (infectious
tracheobronchitis)
Bronchitis
Pneumonea
Tracheal collapse (windpipe that collapses)
EYE DISORDERS
Does your dog have or has it had any eye disorder?
YES
NO
When was the last time your dog had an eye screening/examination by an appointed eye
examiner?
Never eye screened
Appr. 1 year ago
2-4 years ago
More than 5 years ago
cannot recall
Tick off if the dog has had any of the following eye disorders
Cornea disorders
"Dry eye" (KCS)
cornea injury
Has your dog had eye infection?
NO
Very seldom
Occasionally
Often
Very often
Disorders of the eyelid
Narrow/blocked tear ducts
Superfluous eyelashes
Eyelidtumor
(Nictitaing eyelid)-prolapse
Inwardly rolled eyelid edges - entropion
Drooping eyelids - ectropion
Third eyelid
Lens disorders
Glaucoma
Pulverulent Nuklear Cataract- “Buhund cataract”
Cataract posterior
polar
Cataract "Anterior suture lines” (not congenital)
Cataract - other
type
Cataract- uncertain of type
Lens luxation
I
Iris
Infection/uveitis
Retinal disease?
Has your dog got Progressive Retinal Atrophy (PRA)?
NO
Uncertain, don´t know
YES
Other eye diseases – tick off?
Retinal dysplasia (RD)
PPM-persistant pupillary membranes
How would you characterize your dog´s eye sight?
Excellent (normal)
Slightly reduced
Poor
Other
Blind
JOINTS/SKELETON/MUSCLES
Does your dog suffer (or has it suffered) from diseases in the joints/skeleton or muscles?
YES
NO
Joint disorders
Has it been diagnosed with osteochondrosis (enlarged/loose fragments of cartilage in the
joint)?
YES
NO
If YES, in which joint?
Shoulder joint
Elbow joint
At what age?
<=1year
1-2 years
Knee joint
3-4 years
5-6 years
Hock joint
7 years =>
Has your dog been diagnosed with arthritis?
YES
NO
If YES, in which joint?
Shoulder joint
Elbow joint
Other
Knee joint
Hip joint
Hock joint
Has your dog had infectious arthritis=joint infection?
NO
YES, one joint
YES, several joints
Has your dog had cruciate ligament injury?
NO
YES, one leg
YES, both legs
Has your dog -Patella luxation (loose knee cap)?
NO
YES
DON´T KNOW
If loose knee cap? (Patella luxation)-please define "direction"
Knee cap glides inwards (medially)
Knee cap glides outwards (laterally)
only
Right knee only
Both knees
Left knee
Has your dog been officially X-rayed for hip dysplasia?
NO
YES, free of hip dysplasia
YES, has hip dysplasia
Has your dog had hip luxation=hip dislocation?
NO
YES
Has your dog had Legg Perthes´ disease (disease in the neck of the femur/the thigh bone)?
NO
YES
Has your dog been officially X-rayed for elbow dysplasia?
NO
YES – free of elbow dysplasia
YES, has elbow dysplasia
Skeleton- /muscle problems
Vague lameness. Skip if uncertain or tick off:
Vague lameness when >1year
Vague lameness <1year
enostosis
Skip if uncertain or tick off the following back disorders
Spondylosis
Prolapsed disc
Congenital tail deformity
injury
Has your dog had any muscle disease?
NO
YES
Has been diagnosed with
Tail deformity due to
DON´T KNOW
NERVOUS SYSTEM
Neurological disorders. Tick off or skip
Deafness
Epilepsy
Other
REPRODUCTION/REPRODUCTIVE ORGANS
Tick off or skip:
BITCH
Infection of the uterus
Vaginal infection
Ovarian cyst
Pseudopregnancy
How often is your bitch in heat?
> Once a year
Appr.once a year
Sterility
Appr. Twice a year
Abortion
>Twice a year
Has your bitch had puppies?
NO
1 litter
2 litters
3-4 litters
> 4 litters
Has your bitch rejected male dogs when ready for mating?
NO, never
Has occurred
Not unusual
Frequently
Has she been inseminated?
NO
Once - did not become pregnant
Once - had puppies
positive
Several times with variable results
Has she ever had deformed puppies?
YES, has occurred
Yes, repeatedly
If YES, has she had puppies with?
Congenital tail deformity
Cleft palate
Several times -
NO
Other
Has your bitch had problems becoming pregnant after mating?
NO
Empty once
Empty twice
Empty >twice
Has she had complications when giving birth?
NO
YES, the problem got solved
YES, needed a vet
Caesarean/C-section
YES, has had a
MALE DOG
Male dog reproduction: Tick off:
Cryptorchidism-Congenital failure of 1 testicle
Cryptorchidism-Congenital failure of 2
testicles
Benign prostate enlargement (hyperplasia)
Infection of the prostate
Sterility
Foreskin infection
Has mated-Has litters-several empty bitches
Mated several
bitches all empty
Not interested in bitches in heat
DISEASES OF THE URINARY TRACT
Urinary tract problems. Skip if uncertain or tick off:
Acute kidney failure
Chronic kidney failure
Protein-loosing nephropathy,
PNP
Infection of the renal pelvis
Urinary tract infection
Kidney stone
HORMONAL/METABOLIC DISEASES
Has your dog had a hormonal disease?
YES
NO
DON´T KNOW
If YES, tick off:
Hypothyreosis (Low metabolism)
Diabetes
Addison
Cushing
Other
DISEASES OF THE BLOOD AND THE IMMUNE SYSTEM
Has your dog ever had an immunological disease or a disease related to the immune system?
YES
NO
Don´t know
If YES, tick off:
Autoimmune hemolytic anemia
Haemophilia
Other
TUMOURS AND CANCER
Has your dog had a tumour or a cancer disease?
NO
YES
NOT CERTAIN
SKIN TUMOUR? Skip if you answered NO/NOT CERTAIN or tick off:
Lipoma (fatty lump)
Epidermal cyst
Histiocytoma
Mast cell tumor
benign growth
Other malignant growth
Other growth with uncertain diagnose
CANCER OF THE DIGESTIVE SYSTEM?
Stomach
Intestine
Liver
Pancreas
Other
CANCER OF THE RESPIRATORY TRACT?
Nasal cavity
Lungs
CANCER OF THE REPRODUCTIVE ORGANS?
Mammary cancer
Ovarian cancer
Testicular cancer
CANCER OF THE URINARY TRACT?
Renal cancer (kidneys)
Bladder cancer
CANCER OF THE SKELETON?
Malignant bone cancer
Bone cancer
BLOOD CANCER (LEUKAEMIA)/LYMPHOMA?
Leukaemia
Lymphoma or Lymphosarcoma
SPLEEN:
Hemangioma/Hemangiosarcoma
CEREBRAL CANCER?
YES
NO
Cancer in organs not mentioned above?
NO
YES
Prostate cancer
Other
OTHER ILLNESSES
Has your dog reacted abnormally to sedation/general anaesthesia?
Don´t know/has never been sedated
NO, probably normal reaction
what is normal
YES, too deep sleep
YES, awakens very slowly
Has your dog suffered any side effects of medication?
Don´t know
NO
YES: vaccination
YES: parasite medication
medications, too
needs more than
YES: other
Has your dog had any tick related illnesses (Borreliosis/Anaplasmosis/Ehrlichiosis)?
YES
NO
Don´t know
Has your dog had any illnesses other than those mentioned?
NO
YES
DEATH
Is your dog still alive?
YES
NO
If NO, how old did it become?
< 1 year
1-2 years
9-10 years
11-12 years
3-4 years
13-14 years
5-6 years
15-16 years
7-8 years
>16 years
If your dog has passed away, what was the cause of death or euthanasia?
Don´t know
Skin disease
Heart problems
Cerebral haemorrhage
Cancer
Old age-became old/weak
Joint/skeletal-problem
Accident/injury
Behavioural
problem
Other health problem
Check your information thoroughly before proceeding to next part of the survey.
The form will be nullified if you try to go back to 2 after having started 3 (BEHAVIOUR).
GO TO BEHAVIOR (you cannot
backtrack)
Part 3 of 3 - BEHAVIOUR
How pleased are you with your dog´s general behaviour?
Very much so
Pleased
Moderately
Displeased
Very displeased
MY DOG CAN BE DESCRIBED AS
Scale: 1 = absolutely not, 5= absolutely correct)
Seeking contact
1 absolutely not
2
3
4
5 absolutely correct
Learns fast
1 absolutely not
2
3
4
5 absolutely correct
Tough
1 absolutely not
2
3
4
5 absolutely correct
Curious/nosy
1 absolutely not
2
3
4
5 absolutely correct
Secure
1 absolutely not
2
3
4
5 absolutely correct
Independent
1 absolutely not
2
3
4
5 absolutely correct
Happy
1 absolutely not
2
3
4
5 absolutely correct
Moody
1 absolutely not
2
3
4
5 absolutely correct
Nervous/anxious
1 absolutely not
2
3
4
5 absolutely correct
Temperamental
1 absolutely not
2
3
4
5 absolutely correct
UNDESIRED BEHAVIOUR TOWARDS OTHER DOGS
When your dog is on its own, does it ever enter into (serious) fights with other dogs?:
Scale from 1=never/very seldom, 2=seldom, 3=occasionally, 4=often 5=frequently
Of same sex?
1 never/very seldom
2
3
4
5 frequently
Of opposite sex?
1 never/very seldom
2
3
4
5 frequently
When on a leash does it ever show aggressive signals or aggression towards other dogs of
Same sex?
1 never/very seldom
2
3
4
5 frequently
Opposite sex?
1 never/very seldom
2
3
4
5 frequently
Has it ever bitten other dogs, (same sex)?
1 never/very seldom
2
3
4
5 frequently
Has it ever bitten other dogs, (opposite sex)?
1 never/very seldom
2
3
4
5 frequently
If your dog reacts to other dogs (aggressively) tick off the following (if NO, skip the question)
big dogs
small dogs
puppies
dogs with high energy
UNDESIRED BEHAVIOUR TOWARDS PEOPLE
GROWLING
Scale from 1=never/very seldom, 2=seldom, 3=occasionally, 4=often 5= frequently
Does your dog ever show the following behaviour?
Much too intense play with children in the family?
1 never
2
3
4
5 frequently
Much too intense play with adults in the family?
1 never
2
3
4
5 frequently
Much too intense play with strangers?
1 never
2
3
4
5 frequently
Much too intense play with unknown children?
1 never
2
3
4
5 frequently
Growls at adults in the family?
1 never/very seldom
2
3
4
5 frequently
Growls at strangers?
1 never/very seldom
4
5 frequently
2
3
other
Growls at children in the family?
1 never/very seldom
2
3
4
5 frequently
Growls at unknown children?
1 never/very seldom
2
4
5 frequently
3
BARKING/SNATCHING/BITING (Scale:1:never, 2:has occurred 3:occasionally 4:repeatedly 5:often
Barking/snatching at adults in the family?
1 never
2
3
4
5 Often
Barking/snatching at strangers?
1 never
2
3
4
5 Often
Barking/snatching at children in the family?
1 never
2
3
4
5 Often
Barking/snatching at children in the family?
1 never
2
3
4
5 Often
Has it bitten adults in the family?
1 never
2
3
4
5 Often
Has it bitten strangers?
1 never
2
3
4
5 Often
Has it bitten children in the family?
1 never
2
3
4
5 Often
Has it bitten unknown children?
1 never
2
3
4
5 Often
Is this behaviour triggered by:
-removal of food/goodies/toys/hunting trophy etc?
1 very seldom
2
3
4
5 frequently
unprovoked reason/no apparent reason?
1 very seldom
2
3
4
5 frequently
aggression when being brushed/given a bath, groomed etc?
never
seldom
occasionally
often
frequently
a family member approaching it while eating?
never
seldom
occasionally
often
frequently
a family member staring at it
never
seldom
occasionally
often
frequently
a stranger trying to pet it ?
never
seldom
occasionally
often
frequently
FEAR AND ANXIETY
SCALE: (1= NO, 2= mild, 3=moderate, 4=Strong, 5=very strong)
NOISE
As a response to sudden and/or really loud sounds such as:
Does your dog show signs of anxiety in any of the following situations?
Heavy traffic?
1 NO
2
3
4
5 very much so
Thunder?
1 NO
3
4
5 very much so
2
Shots/sudden loud sounds, sudden bangs?
1 NO
2
3
4
very much so
Fireworks (New Year´s Eve)?
1 NO
2
3
4
5 very much so
SITUATIONS
When your dog is exposed to unfamiliar situations for the first time (eg driving,.elevators)?
1 NO
2
3
4
5 very much so
When the dog is being brushed, given a bath, a pedicure etc by family members?
1 NO
2
3
4
5 very much so
Does your dog show signs of anxiety when left alone at home,in the car etc. (separation
anxiety)?
1 NO
2
3
4
5 very much so
Scared of steep/open stairs?
1 NO
2
3
4
5 very much so
FEAR OF OTHER DOGS
When an unknown dog approaches your dog?
Same size dogs?
1 NO
2
3
4
5 very much so
Dogs of lesser build?
1 NO
2
3
4
5 very much so
FEAR OF PEOPLE?
Strangers?
When a stranger approaches right outside your dog´s home territory:
Adult male?
1NO
2
3
4
5 very much so
Adult female?
1 NO
2
3
4
5 very much so
Children?
1 NO
3
4
5 very much so
2
When a stranger comes visiting?
1 NO
2
3
4
5 very much so
Family members
Is your dog scared of adults in the family?
1 NO
2
3
4
5 very much so
Is your dog scared of adult strangers?
1 NO
2
3
4
5 very much so
Is your dog scared of children in the family?
1 NO
2
3
4
5 very much so
Is your dog scared if a stranger wants to pet it?
1 NO
2
3
4
5 very much so
Is your dog scared of unknown children?
1 NO
2
3
4
5 very much so
BARKING
Barking (Scale from 1=never/very seldom, 2=seldom, 3=occasionally, 4=often, 5=frequently)
Does it occur that your dog barks:
Barks at children in the family?
1 Very seldom
2
3
4
5 frequently
Barks at adults in the family?
1 Very seldom
2
3
4
5 frequently
Barks at unknown adults?
1 Very seldom
2
3
4
5 frequently
Barks at unknown children?
1 Very seldom
2
3
4
5 frequently
Barks when the door bell rings?
1 Very seldom
2
3
4
5 frequently
When friends come visiting?
1 Very seldom
2
3
4
5 frequently
When unknown people come visiting?
1 Very seldom
2
3
4
5 frequently
When someone passes your car?
1 Very seldom
2
3
4
5 frequently
When someone passes your house or garden?
1 Very seldom
2
3
4
5 frequently
Barks at strangers eg when out walking?
1 Very seldom
2
3
4
5frequently
When meeting unknown dogs?
1 Very seldom
2
3
4
5 frequently
HUNTING BEHAVIOUR
My dog shows signs of hunting behaviour (wants to pursue):
When it sees or smells game (deer, hares etc)?
1 Very seldom
2
3
4
5 frequently
When cats and other small animals run away from it?
1 Very seldom
2
3
4
5frequently
When joggers/cyclists pass it?
1 Very seldom
2
3
4
5 frequently
When children play/run past?
1 Very seldom
2
3
4
5 frequently
Vacuum cleaners, brooms, mops etc?
1 Very seldom
2
3
4
5 frequently
SIGNS OF STRESS
Scale (1=very seldom, 2=seldom, 3=occasionally, 4=often 5=frequently)
My dog shows signs of stress (eg, barking, stressful expression) :
When driving
1 No, likes driving
2 Seldom
When together with other dogs=
1 Very seldom
2
3
4
3 occasionally
4 Often
5 Frequently
5 frequently
Does your dog calm down quickly after stressful activities (1=very quickly, 5=very slowly)?
1 very quickly
2
3
4
5 very slowly
During play?
1 very quickly
2
3
4
5 very slowly
In new places?
1 very quickly
2
3
4
5 very slowly
The dog is relaxed at home?
Absolutely
2
3
4
5 absolutely not
Is your dog´s mentality as you hoped/expected when you chose this breed?
YES
NO
Does your dog have any bad habits (tendency towards repetitive behaviour licks often, bites
or similar behaviour)?
No, the dog does not have these habits
its fore legs
Yes, often bites its paws
Yes, often licks
Yes, licks and bites its sides and thighs
Yes, even the tail
Yes, other objects
FINALLY SOME OTHER HABITS ?
Does your dog love food?
Poor appetite
Poor appetite/choosy
Extremely fond of food!
Normal appetite
Quite a healthy appetite
Does it occur that your dog steals food?
Never
Seldom
Occasionally
Often
If your dog gets the chance, does it eat dung/feces?
Never
Seldom
Occasionally
Often
Frequently
Frequently
If your dog gets the opportunity, will it roll in dung/feces?
Never
Seldom
Occasionally
Often
Frequently
Does it enjoy swimming?
Absolutely not
Not so happy with water
swimming
Loves swimming
Does it sleep in your bed?0
Never
Once in a while
Swims occasionally
Every now and then
Is it allowed to sleep on the sofa?
No, never
Yes, has its own sofa
often
Once in a while
Often
Does not enjoy
Frequently
Every now and then
Quite
That´s all! Thank you very much for taking time to answer these questions. Click "SEND SVAR"
below right to send your completed survey to the Norwegian Veterinary University