Questionnaire

New Patient (Canine/Feline)

    • #Home#CellE-mailTextMail

    • MaleFemale

    • Spayed/Neutered

    • CatDog Other:

    • YesNo

    • WebsiteSocial MediaFriend/FamilyDriving By

    • NormalEnergeticQuiet

    • NormalDecreasedIncreased

    • NormalDecreasedIncreased

    • NormalDecreasedIncreasedStraining

    • NormalWateryHard/Dry

    • YesNo

    • YesNo

    • Stiff JointsDifficulty Getting UpDifficulty With StairsHearing LossVision LossGreasy CoatDandruffPainNone

    • IndoorsOutdoorsMy pet is exclusively kept indoors.

    • YesNo

    • YesNo

    • VetPet StoreGrocery StoreHome Cooked

    • YesNo

    • MonthlyWeeklyDailyNone

    • Dental ChewsGreeniesBully SticksBonesAntlers

    • MaxiguardHealthymouth

    • YesNo

    • DogsCatsMenChildrenLeashAggression/ReactivityBiting/AggressionHousetrainingCrate Training

    • ItchySores/RashChewing FeetFleasWoundsScootingLameness

    • IncreasedDecreased

    • Weight GainWeight Loss

    • Lethargy

    • CoughingSneezingVomitingDiarrheaConstipation

    • GradualSudden

    • None of the above: