Sheltie BAER hearing test questionaire
Part I: BAER test results. Check apropriate blanks
|
Left ear |
Hearing ___ |
Deaf ___ |
|
Right ear |
Hearing ___ |
Deaf ___ |
Test performed by ___________________________________
at _______________________________
Age at testing (must be over 5 weeks.) ________
Part II: Dog information. I will keep this confidential, but I do need a unique identifier and the ability to recognise related dogs in order to answer such questions as whether unilaterally deaf animals are more likely to produce bilaterally deaf animals. Ideal identifier is the dog's registered name and stud book issue and/or names and stud book issues of parents.
Dog identifier ______________________________________________
Any known relatives tested and their identifiers?
Base color (ignoring white markings). Circle the color of the dog. Put "S" after the sire's color, and "D" after the dam's color if known. If you have a double merle and are not sure if it has tan points, count it as a biblue double merle
|
Black (biblack) |
Black with tan points |
Sable |
|
Blue merle (biblue) |
Blue merle with tan points |
Sable merle |
|
Double merle (biblue) |
Double merle (tan showing) |
Double sable merle |
Pattern of white body markings:
|
Irish ____ (variable white on neck, legs, tail tip, underbody. No white crossing back between withers and tail base.) |
Piebald ____ (White crossing back, large colored spots on body. Some color across back. More than 50% white regardless of position of white, unless color headed white.) |
Color headed white ____ (Body predominantly white, with occasional colored spots, most likely near tail base. Predominantly white behind head.) |
Pattern of white head markings (circle best description):
|
Plain face |
Star, snip, or narrow blaze |
Wide blaze |
|
Blaze so wide it gives the effect of colored areas surrounding eyes and ears |
Half white or all white head, ears retain pigment. Which side? |
Half white or all white head, one or both ears white. Which side? |
I will be putting in outline drawings on which the boundaries of the dog's white markings can be sketched, so come back in a few days to get them. Print out the questionaire and fill it in. When questionaire is filled out, mail it to:
P.O. Box 83962
Fairbanks, Alaska 99708
sbowling@mosquitonet.com