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Magnesium Deficiency Questionnaire
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*
" indicates required fields
1
Section 1: General Information
2
Section 2: At Home
3
Section 3: Away from Home
4
Section 4: In the Crossties
5
Section 5: In Training
Does your horse have a history of medical problems, laminitis, or colic/ulcers?
*
Yes
No
Has your horse been treated for ulcers?
*
Yes
No
Does your horse have a history of abuse or neglect?
*
Yes
No
Was your horse over-trained or over-ridden as a youngster?
*
Yes
No
Was your horse competed on extensively from ages 3 to 6?
*
Yes
No
My horse works 4 days or more per week and is getting worse with time, not better.
*
Yes
No
Has your horse been diagnosed as a headshaker, or does your horse shake their head excessively?
*
Yes
No
My horse bites, kicks, or acts aggressively:
*
Never
Sometimes
Frequently
You never know, day to day
My horse grinds his teeth:
*
Never
Sometimes
Frequently
Always
My horse is high strung or nervous:
*
Never
Sometimes
Frequently
Always
My horse spooks:
*
Never
Sometimes
For no reason
And and cannot settle down afterwards
My horse displays repetitive motion behavior: like stall walking, head bobbing, weaving, cribbing, or head shaking.
*
Never
Sometimes
Frequently
Always
My horse gets a slippery elm supplement.
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Never
Sometimes
Frequently
Always
My horse gets sweet feed, more than 1 pound a day.
*
Never
Sometimes
Frequently
Always
My horse is grumpy or anti-social.
*
Never
Sometimes
Frequently
Always
My horse runs or paces the fence in the pasture.
*
Never
Sometimes
Frequently
Always
My horse is good at home and comes undone at shows.
*
Never
Sometimes
Frequently
Always
My horse refuses to go forward (balky) to go through gates.
*
Never
Sometimes
Frequently
Always
My horse dislikes being bathed.
*
Never
Sometimes
Frequently
Always
My horse dislikes being brushed with a stiff brush or a firm curry.
*
Never
Sometimes
Frequently
Always
My horse pins his or her ears during saddling and girthing.
*
Never
Sometimes
Frequently
Always
My horse trembles (commonly in knees and flanks).
*
Never
Sometimes
Frequently
Always
My horse dislikes chiro/body work or needs more than normal.
*
Never
Sometimes
Frequently
Always
My horse's skin flinches or twitches when touched.
*
Never
Sometimes
Frequently
Always
My horse has trouble holding his or her hind legs for the shoer.
*
Never
Sometimes
Frequently
Always
My horse is hard-muscled or tense, even at rest.
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Never
Sometimes
Frequently
Always
My horse paws, frets, or becomes defensive when tied.
*
Never
Sometimes
Frequently
Always
My horse is consistently inconsistent, in attitude and in training.
*
Never
Sometimes
Frequently
Always
Has been described as lacking focus (ADD).
*
Never
Sometimes
Frequently
Always
He or she feels stiff or hollow moving.
*
Never
Sometimes
Frequently
Always
Over reacts to cues and aids.
*
Never
Sometimes
Frequently
Always
Requires a long, slow warm-up.
*
Never
Sometimes
Frequently
Always
My horse has difficulty with transitions, cantering, or collection.
*
Never
Sometimes
Frequently
Always
My horse chomps on the bit constantly.
*
Never
Sometimes
Frequently
Always
My horse has unexplained bucking or bolting episodes.
*
Never
Sometimes
Frequently
Always
My horse had an injury and was competed while in pain.
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Never
Somewhat
Extensively
Excessively
Is any of this very NEW behavior for an otherwise well-trained horse?
*
Yes
No
(Optional) Your Name
(Optional) Your Horse's Name
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