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Feline Annual Physical Questionnaire
Please take a moment to complete these questions in advance of your cat's annual examination appointment. It will help our doctors to understand your cats' diet, lifestyle, and environment. In understanding these areas, we can specifically tailor a health regime perfectly suited to her/him.
Name
*
First
Last
Pet's Name
*
Habitat
*
Indoor
Outdoor
In and out freely
Appetite
*
Excellent
Good
Picky
Poor
Food Type
*
Kibble
Kibble & Canned
Canned Only
Raw
Diet Frequency
*
Once Daily
Twice Daily
Three Times Daily
Diet Brand
*
Water Consumption
*
Drinks normal amount
Drinks excessive amount
Doesn't drink a lot
Activity Level
*
Normal
High energy
Sedentary
Do you have any other pets in your home? If so, please list
*
Does your cat go to a grooming or boarding facility?
*
Yes both
Grooming
Boarding
No
Do you travel with your cat to destination places (cottages, out of province, USA, etc)? If so, please indicate your places of travel.
*
If they do travel with you, please indicate where:
Does your cat hunt?
*
Yes
No
If you cat does hunt, does (s)he eat the prey?
Yes
No
Does your cat vomit?
*
My cat does not vomit
My cat vomits occasionally
My cat vomits excessively
Does your cat persistently cough?
*
My cat does not cough
My cat coughs occasionally
My cat coughs excessively
Does your cat persistently sneeze?
*
My cat does not sneeze
My cat sneezes occasionally
My cat sneezes excessively
Does your cat persistently itch?
*
No
Yes
If your cat does scratch, please list the location(s) on his/her body:
Has your cat experienced any mobility issues?
*
Constant
Intermittent
No
If your cat has experienced lameness, please specify which leg(s) and the duration:
Have you noticed any fleas or ticks on your cat recently?
*
No
Yes
Do you apply flea prevention?
*
No
Yes
Please list all medications and supplements your pet is on:
*
Has your cat been involved and/or injured in any fights (cats, raccoons, etc) within the past 2 years?
*
Yes
No
Unsure
Have you noticed any lumps you would like to have checked? If so, please list the location(s) on body.
*
Our clinic is 'Fear Free' and the veterinarians and team take into account not only your pet's physical well-being, but also their emotional well-being.
During past veterinary visits, what level would you classify your pet as on the Spectrum of FAS (Fear, Anxiety and Stress)?
*
FAS 0
FAS 0-1
FAS 1
FAS 2
FAS 3
FAS 4
FAS 5
Are there any additional concerns you would like to discuss at your cat's annual appointment?
Lastly, please describe which number best describes your pet's stool?*
*
1
2
3
4
5
6
7
Thank you for your time in helping us understand your pet better. Together we can continue to preserve that special bond!
Home
Welcome New Clients
Request an Appointment
Request a Refill
Feline Annual Physical Questionnaire
Canine Annual Physical Questionnaire
About Us
Our Story
Meet Our Team
SPCA Wish List
Fear Free
Services
Surgical Care
Canine Spay Surgery
Canine Neuter Surgery
Feline Spay
Feline Neuter
Dentistry Procedures
Physiotherapy
Welcome Puppies & Kittens!
Senior Wellness Screening
Physiotherapy
Boarding
Professional Grooming
At Home Euthanasia
Pain Management
K-Laser Therapy
Annual Care
Early Detection & Wellness Plans
Pet Health
Pet Health Library
Symptom Checker
How-To Videos
News
Blog
Pet Records Sign-in
Pet Records Registration
Contact Us
Vet Store
Petriage