630-699-3113
service@thewelcomewaggin.com
Facebook
Instagram
Facebook
Instagram
Home
About
Our Team
Reviews
Photo Gallery
Careers
Morning Coffee Talk
New Clients
What to Expect
New Client Information
New Patient Intake Form
Existing Clients
Prescription Medication and Food Orders
Pet Portal
Appointment
Our Services
Mobile Services
End-of-Life Services
Service Areas
Pet Memorials
Blog
Contact
Select Page
Pre-Visit Questionnaire
APPOINTMENT
7
Please enable JavaScript in your browser to complete this form.
Pets Name
*
Your name
*
Email
*
What are your main concerns or questions as we best plan for your pet's upcoming visit?
*
Planning a Low Stress Visit:
Pets get very stressed if they need to be chased during a visit. Please make sure your pet is ready and available in time for the appointment. Be sure to close all bedroom doors to prevent animals from hiding under beds or behind furniture. Consider locking your pet in a bathroom or small room or gating your pet in a room with limited hiding places. We aim to provide you and your pet with exceptional service. Having to search for or chase animals may result in additional handling fees.
What are the ways to make this appointment as stress free as possible for your pet?
*
What's your pets favorite place to get examined? - couch, chair, table, floor, special room
*
Does your pet prefer treats or toys for motivation?
*
Treats
Toys
Other
Can we give your pets lots of treats during the exam? (in reason with their lifestyle)
*
Yes
No
Any food allergies (your pet and the people in your house)
Does a specific person need to be present for the exam?
*
How is your pets behavior at home?
*
How is your pets behavior when out and about or when new people come to visit?
*
Eating & Drinking Habits
How is your pets appetite?
*
Not eating at all
Eating less than usual
Normal
Eating more than usual
How is your pets water consumption?
*
Not drinking water at all
Drinking less water than usual
Normal
Drinking more water than usual
What kind of diet is your pet on?
*
Canned food
Dry food
What is the Brand of Dog food and Flavor of Dog food?
*
How many times a day do you feed your pet or do you free feed?
*
How many cups/serving per meal?
*
GI & Urinary Systems
Vomiting
*
Diarrhea
*
Defecation
*
Litter Box Use when applicable
*
Urination:
*
Is your pet Indoor/Outdoor?
*
Indoor
Outdoor
Coughing
*
Sneezing
*
Updated Life Medical History
Please list any current medications that your pet is taking, including prevention:
*
Please list any current supplements/vitamins your pet is taking
*
Energy Level
*
Do you have any other pets information to record?
*
Yes
No
Pets Name
*
What are your main concerns or questions as we best plan for your pet's upcoming visit?
*
Planning a Low Stress Visit:
Pets get very stressed if they need to be chased during a visit. Please make sure your pet is ready and available in time for the appointment. Be sure to close all bedroom doors to prevent animals from hiding under beds or behind furniture. Consider locking your pet in a bathroom or small room or gating your pet in a room with limited hiding places. We aim to provide you and your pet with exceptional service. Having to search for or chase animals may result in additional handling fees.
What are the ways to make this appointment as stress free as possible for your pet?
*
What's your pets favorite place to get examined? - couch, chair, table, floor, special room
*
Does your pet prefer treats or toys for motivation?
*
Treats
Toys
Other
Can we give your pets lots of treats during the exam? (in reason with their lifestyle)
*
Yes
No
Any food allergies (your pet and the people in your house)
Does a specific person need to be present for the exam?
*
How is your pets behavior at home?
*
How is your pets behavior when out and about or when new people come to visit?
*
Eating & Drinking Habits
How is your pets appetite?
*
Not eating at all
Eating less than usual
Normal
Eating more than usual
How is your pets water consumption?
*
Not drinking water at all
Drinking less water than usual
Normal
Drinking more water than usual
What kind of diet is your pet on?
*
Canned food
Dry food
What is the Brand of Dog food and Flavor of Dog food?
*
How many times a day do you feed your pet or do you free feed?
*
How many cups/serving per meal?
*
GI & Urinary Systems
Vomiting
*
Diarrhea
*
Defecation
*
Litter Box Use when applicable
*
Urination:
*
Is your pet Indoor/Outdoor?
*
Indoor
Outdoor
Coughing
*
Sneezing
*
Updated Life Medical History
Please list any current medications that your pet is taking, including prevention:
*
Please list any current supplements/vitamins your pet is taking
*
Energy Level
*
Submit