Pre visit Questionnaire – Emotional History Record (Dog/Cat)

At GHSVet, we strive to use a Fear Free approach with all patients. Fear Free is the practice of utilizing methods to lessen, lower, and prevent symptoms of fear, anxiety and stress in our patients. The goal of Fear Free is to provide your pet with a veterinary experience that is as enjoyable and stress-free as possible. As such, it is important for us to understand what your pet might find upsetting. This information will help us to adjust our care to better serve and comfort your pet.

Owner Name

Phone Number

Pet Name

How and where does your pet travel in the car (e.g. carrier, seatbelt, loose, etc.) ?

Do you have any additional comments or details you would like to share?

How would you describe your pet around other animals and people?

Does your pet have any sensitive areas that s/he does not like to have touched by you or others?

Are there any procedures your pet has not liked having performed at the veterinary hospital in the past or that seemed difficult for you or the staff to do (e.g. nail trims, weight, temperature, ear exam, blood draw)? If so, how did your pet react?

What are your pet’s favourite treats? (Please bring some to your next visit to our clinic).

Does your pet like to play with toys? If so, what kinds? (Please bring one to your next visit to our clinic).

Does your pet prefer treats or toys?

Has your pet ever been prescribed any supplements or medications to help with a visit to the veterinary hospital? If so, what was it and what sort of results did you experience?

Anything else you would like us to know?

Pre visit Questionnaire – Emotional History Record (Dog/Cat)

Pre visit Questionnaire – Emotional History Record (Dog/Cat)

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