Pre-Visit Survey for Young Cats (< 7 years of age) Fill out this questionnaire before each preventive care visit to help us be as thorough as possible during your appointment.Cat's Name Your Name First Last Preferred E-mail Preferred Phone Number Is this number a cell phone? Yes No Which method(s) of communication do you prefer? Text Messaging Phone Call E-mail Is your cat micro-chipped with up-to-date registration? Yes No Unsure Please list your cat's current diet. (please specify brand, type, how much, and how often fed) Please list any treats, dental chews, and/or human food your cat receives. Your cat's body condition is: Overweight Ideal Underweight Unsure Which parasite preventative(s) is your cat receiving? Bravecto Plus None Other Specify How often is your cat receiving the parasite preventative? Please list all other medications and supplements your cat receives. Please include the current dose and frequency given.Preventive blood screening is an important way for us to spot potential health issues before your cat shows symptoms. It also allows us to obtain a baseline of blood values while your cat is healthy.Are you interested in adding on a wellness blood screen to your cat's visit? Yes Maybe No What type of home dental care does your cat receive? How much time does your cat spend outdoors? Does your cat hunt? Yes No If your cat has had any behavior changes since his or her last visit, please describe them here.If your cat is having any mobility or comfort issues, please describe them here.If you have any questions or concerns you would like to discuss with the doctor during your visit, please list them here.
