Which of the following describes you?

Boxer Breeder     Boxer Owner   Rescue Worker     Other

Where did you obtain your boxer?

Pet Store    Breeder    Rescue     Other

How old was your boxer when diagnosed with Kidney Disease?

Less than 1 yr.     1-2 yrs.    2-3 yrs.    3+ yrs.

How was your boxer diagnosed?

Your vet    Specialist    Breeder    Other

What was the diagnosis?

Renal Dysplasia    Polycystic   Other

If other please specify:

What types of tests were done to verify the diagnosis?

Urine Analysis    Blood Panel    Ultrasound    Biopsy    Necropsy

Other

If other, please elaborate:

Do you know of other boxers related to your boxer that have had similar symptoms of this disease?

Yes    No

If yes, please elaborate:

How old, if living, is your boxer now?

How old, if deceased, was your boxer when it died?

Was information readily available to you to help care for your boxer?

Yes    No

Did you do fluid therapy on your boxer?

Yes    No

Did you alter your boxer's diet?

Yes    No

If yes, what diet did you use?

Who do you think should be responsible to investigate kidney disease in boxers?

The American Boxer Club    Boxer Breeders    Boxer Owners    Other

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