Thank you for visiting Adequan® Canine's (POLYSULFATED GLYCOSAMINOGLYCAN) web page. To help us better understand your needs, please tell us about your dog and yourself.

1. How many dogs do you currently have in your household?

One
Two
Three
Four
Five
More than 5
None
2. Are any of your dogs currently experiencing any stiffness, pain or trouble moving around that you attribute to osteoarthritis?

YesNo
3. Have any of your dogs ever been treated for osteoarthritis?

YesNo
4. What osteoarthritis treatments have you tried for your dog or dogs?
   (Please check all that apply.)

Adequan® Canine
EtoGesic
Rimadyl
Corticosteoids
Cosequin
None
Don't Know
Other non-steroidals (specify) 
Nutritional supplements (specify) 
5. What is your gender?

MaleFemale
6. What is your age-group?

under 18
18 - 24
25 - 29
30 - 34
35 - 39
40 - 44
45 - 49
50 - 54
55 - 59
60 - 64
65 - 74
75 and older
7. What is your marital status?

Married
Single
Divorced

8. What is your race or ethnic background?

White
African-American
Hispanic
Asian
Other (specify)
Don't Know
9. Which of the following best describes your occupation?

Executive, managerial
Professional
Technical and sales
Administrative support
Service
Precision production, craft, and repair
Operator, fabricator, and laborer
Farming, forestry, and fishing
Homemaker
Student
Retired
Unemployed

10. What is your total annual household income, from all sources?

Less than $11,999
$12,000 - $24,999
$25,000 - $39,999
$40,000 - $59,999
$60,000 - $74,999
$75,000 - $100,000
More than $100,000
11. What is the zip code of where you
    live? 


12. To receive updates and other information about canine arthritis and available treatments, please provide us with the following information: