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Behavioral Questionnaire
We want to make your pet's veterinary experience as enjoyable and as stress-free as possible. As such, it's 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. Please answer the following questions to the best of your ability so we can take into consideration both your and your pet's preferences.
Primary Caregiver
Name
*
First
Last
Pet's Name
*
Does your pet show any reluctance to getting in the carrier or car?
Yes
No
How and where does your pet travel in the car? (carrier, seatbelt, loose, etc.):
During travel to the veterinary clinic, does your pet do any of the following:
Eager & Excited
Reluctant
Hide
Drool
Vomit
Urine/Bowel Movement
Subdued
Bark/Meow
Whine
Pant
Tremble
Pace
Other
Does your pet prefer:
Female veterinary professionals
Male veterinary professionals
It doesn't matter
Check any situations listed below that your pet has shown avoidance or dislike of in the past. You can add additional comments at the end.
Entering the veterinary clinic doors
Other pets and/or people passing by while in the lobby
Waiting with other people and animals in the lobby
Being approached by veterinary team members
Hearing the doorbell, overhead intercom or phones ringing
Sounds coming from the back areas of the clinic
Going into the exam room
Being put up on the table for examination
Having direct eye contact with the veterinary team
Loud voices
Having a rectal temperature taken
The use of instruments such as a stethoscope or otoscope (to look in the ears)
Being taken out of the exam room for procedures
How would you descibe your pet around other animals?
Does your pet have any sensitive areas that s/he does not like to have touched by you or others?
Are there any other procedures your pet has not liked having performed at the veterinary clinic in the past or that seemed difficult for you or the staff to do? (nail trims, weight, temperature, ear exam, blood draw) If so, how did your pet react?
What are your pet's favorite treats? (Please bring some to your next visit to the clinic):
Does your pet like to play with toys? If so, what kinds?
Has your pet ever been prescribed any supplements or medications to help with a visit to the veterinary clinic? If so, what was it and what sort of results did you experience?
Anything else you would like us to know?
Thank you for choosing Sunrise Pet Clinic and for trusting us with the care of your furry family member!
Home
New Clients
What To Expect
Fear Free Vet Visit Tips
Puppy Classes
About Us
Location & Hours
Our Veterinarians
Patient Forms
Prescription Refill and Food Order Request Form
Join Our Team
We love our Patients!
Pet Services
Wellness and Vaccination Programs
Preventive Services
Medical Services
Surgical Services
Puppy Classes
Anesthesia and Patient Monitoring
Nutritional Counseling
Alternative and Complementary Therapy
Euthanasia and Aquamation
Additional Services
Pet Health
Pet Health Library
Pet Health Checker
Pet Insurance
Pet Portal
Book Online
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