Pet's Name * Habitat * Indoor Outoor In and out freely Appetite * Excellent Good Picky Poor Food Type * Kibble Kibble & Canned Canned Only Raw Diet Frequency * Once Daily Twice Daily Three Times Daily Free Fed Diet Brand * Water Consumption * Drinks normal amount Drinks excessive amount Doesn't drink a lot Activity Level * Normal High level Sedentary Do you have any other pets in your home? If so, please list * Does your cat go to a grooming or boarding facility? * Yes, both Grooming Boarding No Do you travel with your cat to destination places (cottages, out of province, USA, etc)? If so, please indicate your places of travel. * If they do travel with you, please indicate where: Does your cat hunt? * Yes No If you cat does hunt, does (s)he eat the prey? Yes No Does your cat vomit? * My cat does not vomit My cat vomits occasionally My cat vomits excessively Does your cat persistently cough? * My cat does not cough My cat coughs occasionally My cat coughs excessively Does your cat persistently sneeze? * My cat does not sneeze My cat sneezes occasionally My cat sneezes excessively Does your cat persistently itch? * No Yes If your cat does scratch, please list the location(s) on his/her body: Has your cat experienced any mobility issues? * Constant Intermittent No If your cat has experienced lameness, please specify which leg(s) and the duration: Have you noticed any fleas or ticks on your cat recently? * No Yes Do you give your cat parasite prevention? * No Yes Please list all medications and supplements your pet is on: * Has your cat been involved and/or injured in any fights (cats, raccoons, etc) within the past 2 years? * Yes No Unsure Have you noticed any lumps you would like to have checked? If so, please list the location(s) on body. * Our clinic is 'Fear Free' and the veterinarians and team take into account not only your pet's physical well-being, but also their emotional well-being. During past veterinary visits, what level would you classify your pet as on the Spectrum of FAS (Fear, Anxiety and Stress)? * FAS 0 FAS 0-1 FAS 1 FAS 2 FAS 3 FAS 4 FAS 5 Are there any additional concerns you would like to discuss at your cat's annual appointment? Lastly, please describe which number best describes your pet's stool using the Fecal Scoring Chart? * 1 2 3 4 5 6 7 Thank you for your time in helping us understand your pet better. Together we can continue to preserve that special bond!