Food Questionnaire

Welcome to BVVC

(419) 422-3292 | bvvc@bvvc.net
Food Questionnaire
What brand and Protein source do you feed your pet(s)? (Example: Hill's science diet chicken & rice for adult large breed).
Dry:
Wet:
Is the food formulated to target specific conditions for your pet(s)? (Sensitive stomach, Skin, Dental care, Urinary care, Weight, etc.?)
What is your pet(s) eating habits? (Free fed? Specific mealtimes?)
How much do you feed at each meal?
Dry:
Wet:
Are you using a kitchen measuring cup?

Yes No
What kind of treats (Brand, flavor?) or table scraps does your pet(s) get? How often?
If necessary, are you open to switching your pet's food to an over-the-counter or prescription diet based on recommendations made by a veterinarian?

Goals & Weight Loss Program:

My name is Madison, I am Blanchard Valley Veterinary Clinic's nutritional expert. I will be working with you and checking in to achieve your pet's weight goal. I look forward to following up with you. Our goal for your pet is to get the correct daily calorie allotment to ensure your pet loses or maintains its weight that is most appropriate for them.

BVVC's weight loss Program consists of coming into the clinic every 8 weeks to be weighed. This program was made to help owners understand the importance of not overfeeding their pet and giving the pet their best healthy life. This program holds accountable for following the calorie count plan. Your pet should reach its ideal weight goal and maintain their weight with this calorie intake plan if followed correctly.
Contact Information:
Name *

First Name Last Name
Pet Of Interest: *
Phone Number
Please enter a valid phone number.
Email
example@example.com
How would you like to be contacted? *

Phone Text Email
Please verify that you are human *
Should be Empty:

Welcome to BVVC