Horse Questionnaire

This is a general survey of information about your horse which will help in forming an optimal diet and feeding plan.

Feel free to add additional information that you feel will be helpful.  

You can copy/paste the questions into an email or text file to answer or simply use this as a guideline to tell me about your horse/s.


Background

  Location (State, county)

  Years with horses

  Years caring for your own horses

  Total number of horses


Horse's Name

  Breed, Age/Foaled, Sex 

  Current weight

  Ideal weight

 Body Condition Score

 (or Normal, Thin, Fat)

  Major weight loss/gain?

  Any loss of muscle, or change in condition?


Housing

  With owner at home or boarded

  Stall, pen, corral, paddock (size, amount of time)

  Acreage (pasture or free range)

  Water (automatic waterers, tank, buckets, natural source)

  Private well or municipal water system

  

Work

  Type

  Level  

  Frequency


Repro status 

 Stallion - breeding

 Mare - open, pregnant, lactating


Medical

  Any present or past medical issues or injuries

  Blood work done?

  IR, Cushing's, PSSM/EPSM or other metabolic issues?

  Signs and symptoms


Regular veterinary care?

  Vaccinations

  Deworming


Shod/Barefoot

  Any hoof issues

  Laminitis or founder?

  Who does the trimming/shoeing?

  

Feed - Brand/Type/Amount/Frequency

  Hay - type, where it comes from, how fed

  Pelleted hay - brand, type

  Concentrate/Bagged feed

  Grain (straights - oats, barley, etc.)

  Supplements (brand name, quantity)

  Herbs

 Treats

  Medications

  Other?

  Salt (block, loose, in feed? iodized or plain, how much?)

  Who does the feeding (self, barn help, children)


Any other information you feel would be helpful