Puppy and Junior Canine Lifestyle Assessment

Puppy and Junior Canine Lifestyle Assessment
Date
Pet's name *
Your last name*
My dog's story
My dog joined my family through
My dog lives in a/an
My dog lives with
My best friendMy walking companionMy workout/hiking palMy farm or country dogMy working dogMy fur kidMy kids' dogMy couch buddyMy service dogMy guardian dogMy activity/agility partnerMy constant companion
With people, my dog
With other dogs, my dog
With cats, my dog thinks
Bringing my dog to the vet is
Do you have anything to add about your pet's story?
My dog's exercise and nutrition assessment
My dog is
When my dog is "home alone". s/he is
My dog is outside
goes out in the yard to do his or her "business".walks on a leash twice or more daily.plays in a fenced in yard.joins me for extended walks and runs.frequently plays with other dogs.participates in active play with people-frisbee, fetch, soccer, etc.participates in intensive training like agility or schutzhund.is a country or farm dog and runs free.is a working dog, and is active with me all day.
a homemade diet.a raw food diet.a high quality commercial dry food.a high quality commercial wet food.a prescription diet.a commercial name brand dry food.a commercial name brand wet food.a store brand dry food.a store brand wet food.only people food.
My dog eats
When it comes to treats, my dog has
commercial dog treats in a bag.homemade dog biscuits.marrow or neck bones.stuffed Kongs or marrow bones.fresh or frozen vegetables.doggie ice cream.table scraps and leftovers.cheese or meat bits.jerky treats or other dried bits.rawhide or porkhide.
Is there anything more you would like to add or ask about your dog's exercise and nutrition?
Environmental Risks
friends with other petspet and feed storesfarmer's markets and festivalsschools and athletic fieldsobedience/agility/training classesponds, streams, and woodshiking trailsdog competitionstherapy dog-schools/hospitals/nursing homesdog parks, boarding, doggy day care
My dog and I like to travel
When we are outside, my dog
For heartworm prevention, my dog
For fleas and ticks, I use
Does your dog have any special environmental risks that we should know about?
Health Survey: Let's talk about how your pup is doing...
Let's start with their mouth:
looks great with pearly whitesgums are healthy and pinkstill has "puppy breath"catch a whiff of "doggy breath" every once in a whilegums look a little red and sore sometimesalready has "dog breath"-yuck
uhmmm-not much reallyuse dental chews or treatsuse water additivesbrush my dog's teeth on occasionbrush my dog's teeth regularly
And their eyes:
are clear and shiny.have some redness and irritation at times.have a gunky discharge sometimes.have some "weepiness" at times
Ears:
seem fine.have some gunk and debris once in awhile.sometimes have a dark discharge.seem red or swollen.seem itchy. S/he scratches them frequently.have an odor coming from them.
Skin and Body:
is shiny and fine.is dull and not as soft as it used to be.is oily and flaky.is dry, and appears to be itchy.seems to have an odor.has some patchy hair loss.has some open sores at times.gets little pimples and bumps.
Mobility and movement:
runs around without a care in the world.seems awkward sometimes and limps once in awhile.is playing hard, but occasionally seems to overdo it.seems to be painful sometimes when moving around.
Weight and appetite:
is growing and developing as I expected.is gaining more weight than s/he should-appears chunky.is not gaining weight like s/he should--appears thin.is losing weight due to diet and exercise changes.seems to be hungry all the time.seems to be thirsty all the time.is drinking more water than s/he used to.
GI system:
is not house trained yet.is mostly house trained-some accidents.is house trained and doing well.seems to be urinating more frequently.has strong smelling urine.has frequent loose stools or diarrhea.has unusually strong smelling stools.seems to get constipated-strains when going to the bathroom.seems to get nausea frequently.seems to vomit frequently.eats grass.frequently gets into stuff s/he should not eat.
Behavior and Cognition:
is acting like the happy pup s/he is.has had behavioral problems in the past but they have improved.continues to struggle with behavioral problems (please let us know what these are).is showing some increased anxiety.is showing some increased aggression.is lethargic and sometimes acts depressed
Thank you so much for completing this survey. We appreciate your deep knowledge of your pet, and this helps us partner more effectively with you to develop the best preventive care plan tailored to meet your pet's and your family's needs.
Puppy classes and obedience trainingSpaying and neutering your dogWhat vaccines we recommend based on your lifestyle assessmentPet insuranceBreed specific health concernsWeight managementDental careDisease prevention
Which office will you be visiting?*
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Puppy and Junior Canine Lifestyle Assessment

My dog's story

My dog's exercise and nutrition assessment

Environmental Risks

Health Survey: Let's talk about how your pup is doing...

Let's start with their mouth:

And their eyes:

Ears:

Skin and Body:

Mobility and movement:

Weight and appetite:

GI system:

Behavior and Cognition: