Client and Horse Information
Please fill out this form as best you can so we can provide you with the best solutions. The questions with the * are compulsory in order for the form to send.
First Name
Last name
Email
Phone Number
Where are you located
Select an option
New Zealand
Australia
UK
Other
Location if not in above countries
If in NZ, where are you located?
If in Australia please add postcode & State so we can direct you to the nearest help
Horse's Name
Sex of Horse
Select an option
Mare
Gelding
Stallion
Breed or Cross of Horse
Size of Horse
Horse's weight (aprox)
Under 200kg
200 - 400kg
400 - 600kg
Over 600kg
Age of Horse
Work Intensity
Light
Medium
Intense
Not ridden
Is your horse Shod or Barefoot?
Shod
Barefoot
How long has he been having issues?
Less than a month
2 - 6 months
6 - 12 months
Years
No issues just need advice on feed
Please tick any of the issues below that your horse currently displays
Metabolic Issues
EMS
Laminitis
PSSM
Cushings
Head Flicking/Shaking
Behavioural Issues
Spooky
Aggressive
Explosive
Dangerous to handle
Anxious
Herd Bound
Neuro-Muscular
Sacro-iliac issues
Bunny Hopping
'Tight' Behind
Canter transition issues
Girthy
Locking Stifles
Gait Abnormalities
Staggers
Stringhalt
Digestive Issues
Diarrhea
Loud Gut Noises
Gastric Ulcers
Respiratory Issues
Coughing
COPD
Wheezing
Pasture Heaves
No Puff
Skin/Coat Conditions
Mud Fever
Sunburn
Loss of hair
Itchy
Hoof Issues
Footy
Tender on hard/stony ground
Cracks in hooves
Reproductive Issues
Hormonal
Trouble conceiving
What is the main concern you have with this horse?
What other treatments has this horse had to date
Has the vet been to horse for this issue
yes
no
If vet has been, what was the outcome
If bloods taken please upload copy
Select a File
Is your horse currently on grass?
yes
no
Some turnout
If some turn out please describe amount of time on it
If on grass, what stage of growth is your grass?
Short & green
Long & lush
Mature & stalky
Recently sown
What type of grasses do you have (tick more than one if applicable)
Rye/clover
Brown top
Kikuyu
Paspalum
Cocksfoot/orchard grass
Oxalate (setaria, buffel)
Unsure
Is the grass fertilized and if so with what?
NPK
Seaweed
Lime
Superphosphate
Poulfert or Pigfert
How long since the grass was fertilized?
Within the last 6 months
1 - 2 years
More than 2 years
Not sure
Do you Harrow and if so how often
Once or twice a year
Once a month
Once a week
Pick up manure
Please list all hard/bucket feed currently being fed - include brand names & quantity of each
Please list all supplements currently being added include brand names & quantity
SALT - are you adding salt to feeds and if so how much?
Do you own the grazing property?
Do you have access to a Grass Free Area?
yes
no
If yes to grass free - what type of area?
Yard
Grass free track or dry lot living environment
If they have been off grass - how long have they been off it?
How much hay are you feeding?
none
1 - 2 slices per 24 hour period
1/2 bale per 24 hour period
3/4 to full bale per 24 hour period
2 bales per 24 hour period
Ad-Lib - they don't run out
Type of Hay being fed
Plain Grass Hay
Clover Hay
Lucerne/Alfalfa
Haylage
Pea vine
Oat or barley straw
Teff
Rhodes
Rye/Clover hay
Not Feeding Hay
Please upload a photo of whole horse side on with his/her head up
Select a File
Please upload any video that illustrates horse's issue
Select a File
Where did you hear about us?
Our Facebook Page
Our Website
Facebook Advertising
Word of Mouth
Vet
Other
If Other, where did you hear about us from?
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