Thank you for taking the time to participate in this critical survey. Regional data concerning the incidence of heartworm disease plays a vital role when it comes to educating pet owners on the importance of protection in their respective counties.

Please answer all of the following questions:

BETWEEN JANUARY 1, 2010, AND DECEMBER 31, 2010:

1. Number of dogs tested for heartworm? 2. Number of dogs positive for heartworm? 3. Number of cats tested for heartworm? a. How many of those tests you performed for cats
    were antibody tests? b. How many of those tests you performed for cats
    were antigen tests? 4. Number of cats diagnosed positive for heartworm?

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* CONTACT NAME * CONTACT PHONE NUMBER   * STREET * CITY