Pre-Visit Survey for Kittens Fill out this questionnaire before your kitten's initial visit to help us be as thorough as possible during your appointment.Kitten's Name* Your Name* . 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 What is your kitten's date of birth? MM slash DD slash YYYY If date of birth is unknown, please give approximate age. Where and when was your kitten acquired?* If you are aware of any medical or behavioral issues with your kitten's parents or litter-mates, please list them below.Is your kitten micro-chipped with up-to-date registration? Yes No Unsure Please tell us about your kitten's diet, including either treats or human foods. Has your puppy started parasite prevention? If so please list the product below. Please list all other prescription or OTC medications, supplements, nutraceuticals, herbs.My kitten:* lives with or will visit other animals lives with or will visit children lives with or will visit a person with a suppressed immune system (i.e. chemotherapy) goes to grooming/boarding facilities spends time outdoors If you selected lives with or will visit other animals, please explain below. If you selected grooming/boarding facilities, where should a vaccination certificate be sent? Please tell us about your kitten’s playtime routines, mental stimulation/enrichment activities, and socialization.Please tell us about your kitten’s litterbox habits.Please tell us about scratching options for your kitten.Please let us know what questions and concerns you have about your kitten’s care, behavior, or veterinary needs.
