Conventional Pre-Exam Questionnaire

Owner Information*

First NameLast Name

We are so excited to see you and your pet at FurWell!

Please take just a few moments to fill this form BEFORE your appointment. This will help our staff prepare for your visit and give you more time with the doctor. If you have any questions, please give us a call or text at 864-292-6433.

Appointment Tip: Please bring in a stool sample with your pet. Most pets appreciate us NOT trying to get a sample ourselves.

Just a quick note: Starting October 16, 2025, we’ll be offering dual pricing options — a card price and a cash price for all services.

Pet's Name*

Who has your pet seen for care in the past?

If you have any records, feel free to bring them or we're happy to request them for you!

What’s going on with your baby? Tell us—what’s the main reason you’re bringing them in to see us? 🐾 *

The more you can share, the better we can help!

If something’s been bothering your baby, how long has it been going on? ⏱️

Knowing when things started helps us connect the dots and get to the bottom of what’s going on.

Has your pet had any treatment for this, or is he or she taking any medications, supplements, or over-the-counters? 💊*

Tell us the things you tried in the past or at home. It all helps us give the very best care.

Is your pet on monthly flea, tick, and heartworm prevention? 🦟*

If so, which one are you using? This helps us make sure your pet’s fully protected and on the best produce for their lifestyle.

Have you noticed any new lumps, bumps, or mystery spots on your pet we need to check out? 🔍

If something new has popped up, we definitely want to check it out and make sure it’s nothing to worry about.

Has your pet had any sneezing, coughing, vomiting, or GI troubles lately? 🤒*

Sometimes the little things can mean something more, so the little details matter.

Is your pet experiencing any diarrhea or vomiting? If yes, please explain below such as when did it start, how often, and what consistency.*

Have you noticed any changes in how much your pet is eating, drinking, or bathroom habits? 💧*

Sometimes little shifts in thirst, appetite, or bathroom habits can be signs of other underlying issues.

Has your pet had any issues with allergies this year? 🤧 *

Itching, licking, or red skin is not normal. There are medications we can use to help.

Is your pet starting to slow down or having a harder time getting around? 🩼*

Aches, stiffness, or slowing down aren’t just “part of aging”—they’re often treatable.

Have you noticed any new lumps or bumps on your pet? Please explain in detail how many, where are they located, when did you notice them at first, are they causing them any discomfort? *