Equine Questionaire – Sage Holistic

Please complete the intake form and Alice will get back to you as soon as possible.

Name Of Owner

First

Last

Contact Number

Address Of Horse's Location

Email Address

Name Of Horse

Breed Of Horse

Age Of Horse

Height Of Horse

Weight Of Horse

If Your Horse Is Gelded, When Was This Done?

Contact Number Of Current Vet

Length Of Time You Have Owned Your Horse

Horse's Past Disciplines

Do You Train With A Trainer Or Have A Training Programme?

What Are Your Horse's Current Performance Issues, If Any?

What Were The Previous Performance Issues, If Any?

When Was The Last Time Your Horse Was Seen By A Vet And Why?

Is Your Horse On Any Medication?

What Is Your Horse's Feeding Programme?

What Is Your Horse's Current Housing/Turnout Routine?

When Was Your Horse Last Shod/Trimmed?

When Did Your Horse Last Have It's Teeth Assessed?

What Are Your Vaccination And Worming Protocols For Your Horse?

When Was Your Horse's Saddle And Tack Last Checked?

Do You Have Any Specific Areas Of Concern?

I understand that equine bodywork is never a replacement for veterinary care.

I understand that my equine bodyworker will not diagnose conditions, prescribe medications, or supplements for my horse.

If my horse is currently being seen by a veterinarian, I have had this bodywork approved by that veterinarian to ensure that this is appropriate.