Halifax Vet Canine Mobility Assessment by editor | Oct 21, 2020 Welcome to your Halifax Vet Canine Mobility Assessment Email address Dog's Name Owner's name How is your dog's mobility in general?No changes at all with ageingMild changes with ageingModerate changes with ageingExtreme changes with ageing If you have noticed the effects of ageing on your dog's mobility, how long have you been observing changes for?Up to 6 months6 - 12 months12 - 24 months24 - 36 monthsMore than 36 months To what degree does your dog show stiffness after a 'lie down'?No effectMild effectModerate effectSevere effect How well does your dog go UP and DOWN stairs?Easily and with no hesitationWith mild difficulty and/or hesitationWith moderate difficulty and/or hesitationWith severe difficulty and/or hesitationWith extreme difficulty and/or hesitation How well does your dog jump IN and OUT of the car?Easily and with no hesitationWith mild difficulty and/or hesitationWith moderate difficulty and/or hesitationWith severe difficulty and/or hesitationWith extreme difficulty and/or hesitation How well does your dog walk on slippery surfaces such as tiles or linoleum?Easily and with no hesitationWith mild difficulty and/or hesitationWith moderate difficulty and/or hesitationWith severe difficulty and/or hesitationWith extreme difficulty and/or hesitation How well does your dog get UP after lying down on slippery surfaces such as tiles or linoleum?Easily and with no hesitationWith mild difficulty and/or hesitationWith moderate difficulty and/or hesitationWith severe difficulty and/or hesitationWith extreme difficulty and/or hesitation Who limits the extent to which your dog exercises?YouYour dog At exercise, how is your dog handled?Walk on leashWalk off leashTrotRun freely How active is your dog?Extremely activeVery activeFairly activeNot very activeNot at all activeExtreme stiffness What is the effect of cold, damp weather on your dog's mobility?No effectMild effectModerate effectSevere effect How interested is your dog in exercising?Extremely interestedVery interestedModerately interestedMildly interestedNot interested How does your dog interact with human family members and other pets?EagerlyWillinglyReluctantlyGets grumpy sometimesHas very low tolerance levels to some types of touching and play Have you noticed any other changes in your dog's behaviour over the past year? Where does your dog sleep? Please state type of bedding and height off floor. Time is Up!
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