Name
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First Name
Last Name
Email
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Phone
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(###)
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Location of Horse
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Horse Name
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Age
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Sex
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Mare
Gelding
Stallion
Breed
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How long have you owned your horse?
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Previous training history
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Methods used, who trained them, how the horse responded, etc.
Current Veterinarian
Has your horse had a full veterinary check related to the current behavioural issue?
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Does your horse have any ongoing medical issues?
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Medications and/or supplements currently used
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Is your horse shod or barefoot
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Shod all 4
Shod front only
Barefoot
Other
Farrier schedule + last visit?
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Any body work, chiropractic, physiotherapy, or massage done?
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Has a saddle fitter checked your horse?
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Any Past Health Issues / Injuries?
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Ulcers, colic, lameness, surgeries, laminitis, or other issues
Housing
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Stable
Yard
Paddock
Combination/other
Turnout hours per day
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Please describe your horse's turnout area and how it's managed
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Same paddock year round, rotational grazing, paddock paradise, etc. Does it get fertilized, limes, weed sprayed. Type of shelter. etc
Turnout companions
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Number and please describe your horse's relationship with each one if applicable
Please descibe your horse's daily routine as detailed as possible
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Who handles your horse and how frequesntly do they do so?
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What your horse's current forage intake?
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Type of hay/grass, frequency, amount, etc. Is it fed on the ground, slow feeder, soaked, etc.
What concentrates/grains. supplements do you currently feed your horse?
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Please provide amounts, and how often your horse gets fed each day.
Does your horse have any sensitivities or allergies?
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What disciplines/activities does your horse currently participate in?
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Dressage, Jumping, CTR, Hacking, Groundwork
What training methods do you currently use and to your knowledge have been used in the past
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Trainers or professionals you and/or your horse have previously worked with
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names, duration, outcomes
What is you current training program
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exercise, frequency, duration, who runs sessions, etc
What equipment do you currently use - and what has been used in the past
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tack, bits, saddle type, lunging aidsetc.
Pleae tell me more about the behaviour you've observed during training (both past and present)
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What are the main behaviours/issues you're concerned about?
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Please be as specific as possible
To your knowledge when did this behaviour first appear?
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At what frequency does the behaviour occur, what is the context it occurs in, and what are the triggers
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What interventions have been tried?
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Include professional help, training methods, equipment changes, supplements, medication etc.
How effective were these interventions?
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Who normally rides/handles your horse?
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Have you noticed behaviour differences with different handlers?
Any patterns in how your handling affects behaviour?
Has the horse ever injured a person?
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Any safety concerns you want me to know about?
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What would you like to get out of this consult?
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Are there specific scenarios or behaviours you want addressed?
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Are you open to trying new management/training approaches? And are there any potential limitations I may need to be aware of?
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Anything else I need to know about your horse, history, or current circumstances?
Any specific questions or concerns for the consult?
Checkbox
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