Heartworm Education Survey

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The purpose of this questionnaire is to ensure complete understanding of heartworm disease and the importance of prevention.

We require every dog adopted from us be kept current on heartworm prevention for life.

If you are unfamiliar with heartworm disease, please read about it HERE prior to taking this survey.

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Name*

First Last

Email*

Is heartworm disease contagious? (Can a dog get it from another animal?)*

Yes

Is heartworm disease fatal?*

Yes

How is heartworm disease transmitted?*

What are the signs of heartworm disease?*

How often should heartworm prevention be given?*

How often should a dog be tested for heartworms?*

Should a dog be tested for heartworms even if they are on prevention?*

Yes

Are indoor dogs at risk for heartworm disease?*

Yes

Can heartworm disease be treated?*

Yes

If yes, is treatment free of potential complications?*

Yes

Please list any questions or comments you have here.

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