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Pre-Exam Patient Questionnaire

Please give us some more information before your cat’s visit. You can either click on the link below to print and fill out the form and bring  it with you or fill out the form on this page and your responses will be emailed to us. This questionnaire gives us a good look at your cat’s overall health and will allow us to more quickly identify and solve problems that may occur. We will go over each part of the questionnaire in the room with you. If you have any additional things to add, please write them down and we will be sure to address those as well.  Thank you for your help!

Download the pre-exam questionnaire here.

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Do you directly observe your cat while he or she eats?(required)

If Yes, can you tell if he or she gets his/her fair share of food?

Does your cat prefer:(required)

If Dry Food is fed, is the amount:

Does your cat eat all the dry food offered?

If canned food is fed, is the amount:

Does your cat eat all the canned food offered?

Is your cat currently on flea preventative? (required)

Litter box type:(required)

Do you use a plastic liner in the litter box?(required)

Does your cat go outside?(required)

Do other pets go outside?

Please check the boxes below if your cat has any of the following:

If vomiting, does your cat vomit:

Has the frequency changed?