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Mature Pet Questionnaire
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Questionnaire For Mature Pets ( over 7 years old)
Pet's first and last name:
*
Please indicate if your pet has experienced any of the following changes.
Drinking:
Filling the bowl more often
Filling the bowl less often
Drinking from different sources ( tap/toilet)
Urination
Getting up at night
Accidents in the house
Different colour
Different Odour
Appetite:
Ravenous
Not as excited about food
Picky eater
Eating more
Eating less
Change in diet
Current diet:
Weight:
Increased
Decreased
Stable
Hair Coat:
Itchy
Dandruff
Dull
Hair loss
Matting
Body Odours:
Bad breath
Odour from ears
Odour from skin
Dental:
Bad breath
Red gums
Tooth staining
Broken teeth
Mobility:
Lameness
Trouble with stairs
Stiff or shaky
Painful
Spending more time laying down
Difficulty getting in or out of the car
Hesitation jumping on couch or bed
Lagging behind on walks
Slower to get up
Showing pain when moving
Difficulty rising from laying down
Breathing:
Coughing
Shortness of breath
Wheezing
Exercise intolerance
Mouth breathing
Panting
Digestion:
Vomiting
Diarrhea
Constipation
Hairballs
Senses:
Loss of hearing
Loss of sense of smell
Vision loss/ change
Behaviour:
Reduced family interaction
Increased vocalization or barking
Accidents in the house
Growths:
New growths
Changes in previous growths
Where are the growths?
Home
New Clients
What to Expect
AHAA Accreditation
FAQs
Testimonials
About Us
Team
Staff Continuing Education
Contact
Late cancellation / No Show Policy
Emergency Process
Pet Photos
Community Events
Upcoming Events
Awards
Services
Preventive Care
Puppies and Kittens
Senior Pets
Surgery
Radiology
Dentistry
Anaesthesia
Pain Management
Referrals
Pet Insurance
Nutrition
Exotic Pets
Euthanasia
Rehabilitation
Ultrasound
Pet Health
Articles
Illustrated Articles
How-To Videos
Pet Health Checker
Puppy Information
Kitten Information
News
Links
Pet Portal
Forms
Pet Health Questionnaire
Mature Pet Questionnaire