Pre-Appointment Questionnaire

What is your pet currently eating and how much? When do you feed them? Please include all treats and snacks that they get from the moment they wake up and when they go to bed:

How is their appetite and water consumption? Any increase or decreases?:

If your appointment is for a cat; does he/she go outside? If he/she goes outside, do they like to hunt? Or are they indoor only?:

Have you noticed any coughing? Any sneezing? Any vomiting? Any diarrhea? If you have answered yes to any of the above questions, please provide as many details as you can. :

Have you noticed any changes in your pets’ urinations or bowel movement habits:

Does your pet have any lumps or bumps?:

Have you noticed any changes to their coat or grooming habits? Has there been any scratching, chewing or scooting? :

Is your pet currently on any medications? If so, how much and how often? Please include any parasite prevention.:

Any additional questions or concerns you would like to talk about at your appointment?:

I understand that I must have my pet on a securely tightened collar/harness and leash (not extendable leashes, if possible please) or in a secure carrier.:

I will inform the staff if my pet has special needs. It is helpful for us to know if your pet is aggressive with other pets or humans. If your pet is fearful or anxious, we may be able to provide some anxiety medications in advance for you to give 2-3 hours before the appointment.:

I consent to my pets’ photos being used for social media purposes:

Which practice would you like to register with?

Please answer the following questions to the best of your ability. We want to be able to provide the best care possible for your pet and the answers to these questions are an important part of your pet's consultation.

Pre-Appointment Questionnaire

Which practice would you like to register with?

Please answer the following questions to the best of your ability. We want to be able to provide the best care possible for your pet and the answers to these questions are an important part of your pet's consultation.

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