Skin and coat problems (alopecia, dermatitis, etc.)

Name *

First Name Last Name

Email *

Phone

Number

Your pet’s breed *

Your pet’s age

Pet's coat color: *

What cosmetic brand do you use for coat and skin care? *

What kind of products do you use for your pet’s eye and ear care?

What dry food brand do you feed your pet? *

What wet food brand do you feed your pet? *

What treat brand do you give to your pet? *

Do you give raw meat to your pet?

Do you give human food to your dog?

Do you give supplements to your pet? If yes, which ones?

Do you use any tools to protect your pet against parasites - ticks, worms?

Did you already had a consultation with veterinary regarding related problem?

Please attach pictures of problematic areas *

If you have any questions or you need any help please write them down bellow