`WolkenLife Pet Personality and Clinical Signs

Pet Personality and Clinical Form

Kindly fill out the necessary details.
Owner Information

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Full Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address 2

CityState

Zip Code
Animal Information

Kindly fill out the necessary details.
Name*
Species*
Current Diet/Food*
Age*
Sex*
Intact?*

YesNo
Major Complaints*
Current Medications*
Elements

Check all boxes that applies to your pet.
FIRE

livelyrestlessvery friendlycommunicativeaffectionateloves to be pettedcenter of the partyseparation anxietyexcess heatrapid heart rateheart problemsinsomniascared with no reasontongue ulceration
WOOD

decisiveassertiveconfidentstrongimpulsiveathletic staminaalpha animalligament problemsliver problemsred eyesangers easilyear problemsnail problemsfootpad problemsanal sack issuesseizuresdominantfearlesshasty
EARTH

relax, laid backsociableround and largeloyalserene and balancecares for others (nurturing/motherly)diarrheaconstipationloss of appetitevomitgum diseaseweak musclesovereats/obeseworries
WATER

carefulcuriousself-containedlikes to hidemeditativeslow & consistentrear weaknessfearfulbone & back issuesurinary problemsdisturbed growthdeafnessreproductive problems
METAL

loves orderobeys the rulesaloofsymmetrical bodydisciplined attitudegood haircoatasthmadry skinsinus problemsbreathing disordernose problemscough
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Pet Personality and Clinical Form