Doodle Longevity Survey

Please complete as much of the survey as you can. Fields marked with an asterisk * are required. No personal information will be made public. Your name, dog's name, etc. are so that we can keep track of survey responses, and survey updates you may submit later.

Your Information:
(1) Your Name *:
(2) State or Province:

(3) Your Country *:
 If Other, please specify:

(4) Email *:

(5) This is an update to previously submitted survey response:    Yes     No

Your Dog's Information:
(5) Dog's Name *:

(7) Gender *:    Female     Male

(8) Type of Doodle *:
Australian Labradoodle
North American Retriever (Double Doodle)
Other Doodle:

(9) Generation:
Other Generation:

(10) Date of Birth, (if known):

(11) Date of Death:

(12) Age at time of death *:   Years, Months

(13) Cause of Death (300 Characters Maximum):

Additional Information: (Optional)

(14) Approximate Weight:     kg  pounds

(15) Approximate Height (to top of Shoulder):     cm  inches

(16) Where did you get this dog? :
Purchased from Private Breeder
Adopted from Rescue Organization
Adopted from Owner (Rehome)
Purchased at Pet Store

Lifetime Health History: (Optional)
(17) During the time you had the dog, he/she was:

Extremely Healthy
Generally Healthy
Generally Unhealthy
Extremely Unhealthy

If your answer to question 17 was Generally or Extremely Unhealthy,
please summarize (300 Characters Maximum):

When you have finished filling out the form, select the "Continue" button.
The next page will allow you to attach a photograph (optional), and allow you to make corrections to the data you've entered.

If you choose to include a photograph, select "Browse" and then "Upload".  Once the upload of the file is complete, select "Continue".

If you choose not to include a photograph, select "Skip upload" and a pop-up window will ask you "Submit your form WITHOUT uploading a file?", select "OK".

At this point, you can make any corrections to the information you've entered in the form.

Once you are done making any desired changes, select "Yes, I have checked the data - please submit", a pop-up window will inform you that your data has been submitted successfully.

* Required Fields


The information contained on this site is in no way intended to replace that of proper veterinary advice, diagnosis or treatment.
It is meant to provide resource, so that we can better understand canine health related issues.