Getting to Know You Survey

How many horses do you own? *
What do you do with your horse(s)?
Hold down the "control" button and
select all that apply.
*
If showing, which disciplines?
Of the following characteristics,
pick THREE that you find most important
in choosing an equine veterinarian.
(Hold down the control button
to make multiple selections)
*
Which veterinary services
have you used for your horse
in the past 12 months?
Hold down the "control" button
to choose all that apply.
*
When were your horse's teeth
last floated? (choose one)
*
 Within 6 months 
 6-12 months ago 
 12-18 months ago 
 18-24 months ago 
 >24 months 
What best expresses your opinion
of acupuncture? (choose one)
*
 I use it on myself/my horse and think it works great 
 I tried it and the jury is still out. 
 I tried it once and it didn't work 
 I have not had a reason to try it but would be interested 
 I am not interested/do not think it works 
Which veterinarian/practice
is currently treating your horse?
*
If you would like to be contacted
directly, please leave your contact
info (e-mail/phone). This form is
anonymous and you will not be
contacted otherwise.