MRSL Trial Questionnaire: PetalCleanse - Bio

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Bio-Life International
1.
2.
3.
4.
Participant Initials:
Researcher Name:
Date of Trial Commencement:
Type and Number of Pets in the Household
TYPE OF
1
2
PET
Dogs
Cats
Rabbits
Guinea pigs
Hamsters
Rats
Mice
Gophers
Birds
Other furry or
feathery pets
PetalCleanse Efficacy Test
3
4 or more
5. COAT/FEATHER CONDITION OF YOUR PET(S) AT THE START OF THE TRIAL
PET
Excellent
Good
Satisfactory
Poor
1
2
3
4
6. DESCRIPTION OF COAT OR FEATHER CONDITION AT THE START OF THE TRIAL
PET
Shiny
Greasy
Dry/dandruff
Itchy/Scratchy
1
2
3
4
7. COAT/FEATHER CONDITION OF YOUR PET(S) AT THE END OF WEEK 1
PET
Excellent
Good
Satisfactory
Poor
1
2
3
4
8. DESCRIPTION OF COAT OR FEATHER CONDITION AT THE END OF WEEK 1
PET
Shiny
Greasy
Dry/dandruff
Itchy/Scratchy
1
2
3
4
Prepared by MRSL
22 April 2000
Bio-Life International
PetalCleanse Efficacy Test
9. COAT/FEATHER CONDITION OF YOUR PET(S) AT THE END OF WEEK 2
PET
Excellent
Good
Satisfactory
Poor
1
2
3
4
10. DESCRIPTION OF COAT OR FEATHER CONDITION AT THE END OF WEEK 2
PET
Shiny
Greasy
Dry/dandruff
Itchy/Scratchy
1
2
3
4
10.COAT/FEATHER CONDITION OF YOUR PET(S) AT THE END OF WEEK 3
PET
1
2
3
4
Excellent
Good
Satisfactory
Poor
11. DESCRIPTION OF COAT OR FEATHER CONDITION AT THE END OF WEEK 3
PET
Shiny
Greasy
Dry/dandruff
Itchy/Scratchy
1
2
3
4
5
12. COAT/FEATHER CONDITION OF YOUR PET(S) AT THE END OF THE TRIAL (week
4)
PET
Excellent
Good
Satisfactory
Poor
1
2
3
4
13. DESCRIPTION OF COAT OR FEATHER CONDITION AT THE END OF THE TRIAL
(week 4)
PET
Shiny
Greasy
Dry/dandruff
Itchy/Scratchy
1
2
3
4
Prepared by MRSL
22 April 2000
Bio-Life International
PetalCleanse Efficacy Test
14. ANY OTHER COMMENTS ON CHANGES IN COAT/FEATHER CONDITION
OR PET BEHAVIOUR
15. DATE OF TRIAL CONCLUSION:
Prepared by MRSL
22 April 2000
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