Diet Request Form

Your Details
Horse Details
Current Feed
Horse Body Condition Score

First Name*

Last Name*

Phone Number*

Email Address*

State*

Please tell us your preferred feed store*

If you recently attended a Barastoc event/clinic, please provide details.

How many horses do you own?*

Preferred Discipline*

Choose as many as you like

Showing

Western

Eventing

Trail Riding

Carriage Driving

Campdrafting

Polocrosse

Horse Racing

Pony Club

Sporting

Dressage

Hunting

Show Jumping

Breeding

Endurance

Cutting

Polo

Harness Racing

Working Equitation

Adult Rider

Off the Track Thoroughbred

Other

If other:*

Horse's Name*

Horse's Gender*

Horse's Age*

Breed*

(i.e Thoroughbred, Riding Pony)

Build Type*

Horse's Height*

Weight*

(indicate units i.e kg)

Indicate how weight was taken*

Energy Requirements*

Metabolism Type*

Does your horse or has your horse ever suffered from any of the following

Anhidrosis (non-sweater)

Allergies/Skin Disorders

Colic

Cushings

Dental issues

DOD

Equine Metabolic Syndrome

Gastric Ulcers

Hindgut Acidosis

Hoof Problems

Laminitis

Stringhalt

Tying up

Weaving

Loose Manure

Wood chewing/Wind Sucking

Hyperactive/Nervous Behaviour

Poor appetite / fussy eater

Kissing Spine

Bolts feed

Bighead

Dull coat

EMS (Equine metabolic Syndrome)

Grain Intolerance (sugar / starch sensitivity)

Rain Scald

HYPP (Hyperkalemic Periodic Paralysis)

What is your main concern with your horse? *

Please include any other information pertinent to your horses nutritional health and needs as well.

How often does your horse have access to pasture?*

Please tell us about the type, quality and availability of the pasture your horse has access to:*

Please include: Is the pasture oxalated? What season is currently relevant? (Spring Laminitis/Autumn Laminitis etc) is It long and abundant, short and over grazed or restricted access due to laminitis prone?

Dipper type/size*

It would be ideal if feed amounts were recorded in kilograms and grams, however scoop size and number of scoops is also suitable.

Concentrates/Hard Feed/Grains*

Additives / Daily Intake*

Please note feeds or supplements used only occasionally and detail where they might be used*

eg. electrolyte after hard work

Salt Block Available?*

Yes

Loose Salt / Daily Intake

(grams or kilograms)

How many times a day are you currently feeding?*

How many times are you able to feed per day if required? *

Once a Day

Twice a Day

As Required

Don’t feed

Where is your horse kept? *

At home

Agistment

How is your horse kept?*

Private Paddock

Shared Paddock

Day Yard

Stabled No turnout

Paddock Day / Stabled at Night

Other

If other:

Is there any other information about your horses’ current diet or pasture we should know about?

Please indicate which score most resembles your horse*

To give our team a more accurate indication on your horses condition, please upload images of your horse.

Please provide 3 current images - left-side, right side and tailhead photos (from back covering tail head and rumps) of your horse from 3m distance.

Please wait for images to upload before pressing submit.

Max file size: 60.00 MB. | Allowed file types: gif,jpeg,png,jpg,pdf | Min number of files: 3

Select File

To give our team a more accurate indication on your horses condition, please upload images of your horse.

Diet Request Submitted