Headshaking Syndrome  
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Client Weekly Report

 

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Client Report

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     This form is for client weekly symptom reporting.  A report will be returned to you if you wish to print it.  Use your browser's "BACK" button to return back.
 
Client Name::
E-mail Address::
Current Bottle Name::
i.e. bottle A
Bottle Level or Potency::
i.e. 200C
 
Detail any new symptoms your horse has exhibited since your last report.
    Include such things as:
  • weather conditions

  • whether your horse was worked that day, and if so, at what time of day.

  • symptoms exhibited when riding or while not riding

  • if preventive devices (mask, etc.) were used, what are the symptoms both with and without those devices

  • how much itching, sneezing, and blowing of the nose the horse has been doing
 
 
Describe your personal feelings about how you think the horse feels and how he is reacting to Capstar.
 

Homepage | Equine Headshaking Syndrome | Horse Head Shaker Symptoms
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What is Homeopathy | Capstar Pricing Costs | To Order Capstar
Frequent Questions | Contact Capstar Equine Product | Client Report