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 ageing Mild changes with ageing Moderate changes with ageing Extreme 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 months 6 - 12 months 12 - 24 months 24 - 36 months More than 36 months To what degree does your dog show stiffness after a 'lie down'? No effect Mild effect Moderate effect Severe effect How well does your dog go UP and DOWN stairs? Easily and with no hesitation With mild difficulty and/or hesitation With moderate difficulty and/or hesitation With severe difficulty and/or hesitation With extreme difficulty and/or hesitation How well does your dog jump IN and OUT of the car? Easily and with no hesitation With mild difficulty and/or hesitation With moderate difficulty and/or hesitation With severe difficulty and/or hesitation With extreme difficulty and/or hesitation How well does your dog walk on slippery surfaces such as tiles or linoleum? Easily and with no hesitation With mild difficulty and/or hesitation With moderate difficulty and/or hesitation With severe difficulty and/or hesitation With 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 hesitation With mild difficulty and/or hesitation With moderate difficulty and/or hesitation With severe difficulty and/or hesitation With extreme difficulty and/or hesitation Who limits the extent to which your dog exercises? You Your dog At exercise, how is your dog handled? Walk on leash Walk off leash Trot Run freely How active is your dog? Extremely active Very active Fairly active Not very active Not at all active Extreme stiffness What is the effect of cold, damp weather on your dog's mobility? No effect Mild effect Moderate effect Severe effect How interested is your dog in exercising? Extremely interested Very interested Moderately interested Mildly interested Not interested How does your dog interact with human family members and other pets? Eagerly Willingly Reluctantly Gets grumpy sometimes Has 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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