YOUR CONTACT DETAILS
Title
First name
Surname
Are you over 16 years of age?
16 years or over
Under 16 years
Address
County
Postcode
Country
United Kingdom
Arabian Gulf
Austria
Bahrain
Belgium
Denmark
Dubai
Finland
France
Germany
Guernsey
Holland
Italy
Jersey
Kuwait
Menorca
Northern Ireland
Norway
Saudi Arabia
Southern Ireland
Spain
Sweden
Turkey
United Arab Emirates
Email Address
Telephone Number (daytime - in case email will not send)
ABOUT YOUR HORSE
Your horse's name
Height (in 'hh' or 'cm')
Sex
Mare
Gelding
Stallion
Age
Foal under 3 months
Foal 3-6 months
Foal 6-9 months
Foal 9-12 months
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Breed/type
Andalusian/Spanish horse
Anglo Arab
Appaloosa
Arab
Cleveland Bay
Cob
Connemara
Dales
Dartmoor
Exmoor
Falabella/minature
Fell
Friesian
Fjord
Gelderlander
Hackney
Haflinger
Hannoverian
Highland
Holstein
IDx
Irish Draught
Irish Sport Horse
Lusitano
New Forest
Polo Pony
Quarter Horse
Riding Pony
Selle Francais
Shetland Mini
Shetland Standard
Sport Horse
Sport Pony
Standardbred
TBx Warmblood
TBx
TB
Trakehner
Trotter
Warmblood
WBx
Welsh Sec A
Welsh Sec B
Welsh Sec C
Welsh Sec D/ Welsh Cob
Shire/ Heavy Horse
Other
Body weight (if known)
Body Condition Score (if known)
Breeding Status (answer only if you have a broodmare and/or youngstock)
Not applicable
Pregnant
Lactating 1-3 months
Lactating 4-6 months
Suckling foal
Weanling
Yearling
2-3 year old
Orphan
If you would like advice for youngstock, please provide an anticipated mature bodyweight if possible
N/A
100 - 200 kgs (220 - 440 lbs)
200 - 300 kgs (440 - 660 lbs)
300 - 400 kgs (660 - 880 lbs)
400 - 500 kgs (880 - 1100 lbs)
500 - 600 kgs (1100 - 1320 lbs)
600 - 700 kgs (1320 - 1540 lbs)
700 - 800 kgs (1540 - 1760 lbs)
> 800 kgs ( >1764 lbs )
Your horse's energy levels / temperament
Fizzy
Stressy
Laid Back
Lazy
Lack Lustre
Just right
What do you primarily do with your horse? (Its discipline)
Has the horse ever had a nutritional related disease such as colic, laminitis, azoturia? Or your foal suffered from growth problems such as DOD? If so, please select
If you have answered 'yes' to any of the above, please provide more details: (with colic list type and details of any surgery/treatment)
If it is not an ongoing problem, when was the last time this issue occurred?
Current number of feeds per day
How many times are you able to feed a day?
What size scoop do you use?
Daily Diet - give name of product and the total feed amounts. PLEASE NOTE: If you do not provide feeding quantities we will be unable to determine the best diet for your horse.
If you use a feed which requires soaking (such as sugar beet), is the amount stated above measured as:
Dry weight/ volume (before soaking)
Soaked weight/ volume
I don’t use a feed which requires soaking
Is the daily diet above listed as:
Total feed per day
Total feed per meal
How long has your horse been receiving this diet for?
Time at grass
How much forage is fed
Is the horse naturally
Under-weight
Over-weight
Poor-doer
Good-doer
What are you hoping to achieve by changing your horse's diet?
What is the name of your local retailer/merchant you buy feed from? (If you know it)
MISCELLANEOUS
If not using Baileys feeds currently, why are you considering using Baileys feeds?
How did you hear about the Baileys web site?
If 'other', please specify
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Yes
No