Name
Address
Telephone
Email
Vet Practise Name
Is your pet On any treatment for condition? If so what medication are they on?
Pet Name
Type of Pet HorseDog
Age of Pet
Pet Sex MaleFemale
Where is the pet kept? StableBarnFieldIndoorsNear Water
Brief history of pet and their condition
How long has you pet had the condition?
Date midges were last present in your area
Are you following GoodBye Flys advice on best application process? YesNo
What time scale have you started to see results Days1 Week2 Weeks3 Weeks4 WeeksNone Seen
Are you using the products daily? YesNo
Are you using the product weekly? YesNo
Please Score for reduced itchiness with 1 being no improvement and 10 being the best improvement n/a12345678910
Please Score for improved skin condition with 1 being no improvement and 10 being the best improvement n/a12345678910
Please Score for improved coat condition with 1 being no improvement and 10 being the best improvement n/a12345678910
Please Score for improved hair / mane / tail growth with 1 being no improvement and 10 being the best improvement n/a12345678910
Please Score for improved mud fever healing with 1 being no improvement and 10 being the best improvement n/a12345678910
Please Score for reduced sweet itch symptoms with 1 being no improvement and 10 being the best improvement n/a12345678910
Please Score for reduced feather mite symptoms with 1 being no improvement and 10 being the best improvement n/a12345678910
Could you write in your own words what improvements have been seen and how you feel about the product
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