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.