Sawgrass Veterinary Center - Pre-Visit Questionnaire

Patient Name* This field is required.

Preferred Date* This field is required.

Select Date

As a Veterinary Team that embraces the Fear Free initiative we want to make your pet’s veterinary experience as stress free and enjoyable as possible. The information you provide will help us take into consideration both you and your pet’s preferences.

Does your pet travel in the car to places other than the vet hospital?* This field is required.

Yes

Would you describe your pet’s behavior traveling to the hospital / in the car* This field is required.

Travels well

Cries Anxiously

Somewhere in between

Please describe your pets behavior while traveling in the car* This field is required.

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

Getting in the car or carrier

Entering the hospital

Waiting with other pets or people in the waiting room

Other pets barking or loud noises

Going into exam room

Getting on the scale for weight

Being approached by veterinary staff

Being touched by someone other than you

Having someone pick them up for the exam

Being examined on the exam table (small pets)

Instruments touching them such as a stethoscope

Being taken out of the exam room for a procedure away from you

Having their nails trimmed

If your pet travels in a pet carrier how do they react going into the carrier?* This field is required.

Does your pet get nauseous with car travel (drooling/vomiting)?* This field is required.

How would you described your pet around other animals and people?* This field is required.

Does your pet have any sensitive areas that they don’t like to have touched or examined by you or others?* This field is required.

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? (nail trims, weights, temperature, ear exam, blood draw) If so, how did your pet react?* This field is required.

What are your pet’s favorite treats? (It helps if you bring your pet into their appointment hungry and with their favorite treats)

Has your pet ever been prescribed any medications to help with a visit to the veterinary hospital? If so please list below* This field is required.

Anything else you would like us to know (likes/dislikes)?

Please upload a photo of your pet

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Max. file size: 10.6MB

Email* This field is required.

example@example.com

Phone* This field is required.