Canine Semen Analysis Assessment Form
Professional veterinary assessment of canine semen quality and breeding suitability.
Date of Assessment
*
-
Month
-
Day
Year
Date
Dog's Name
*
Breed
Semen Volume (ml)
*
Sperm Concentration (million/ml)
*
Motility Assessment
*
Rows
Rating (1-5)
Progressive Motility
1
Non-progressive Motility
2
Immotile Sperm
3
Morphology Assessment
*
Rows
Normal (%)
Abnormal (%)
Head Abnormalities
Midpiece Abnormalities
Tail Abnormalities
Presence of Foreign Cells or Contaminants
None observed
White blood cells present
Bacteria observed
Other (specify in comments)
Overall Breeding Suitability
*
1
2
3
4
5
Veterinarian Comments / Recommendations
Submit Assessment
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