Feline Behavioral Questionnaire

Thank you for choosing Healing Paws Veterinary Care. Here is a list of questions that will help us prepare for your pet’s upcoming behavioral consultation telemedicine visit with Dr. Sands. If you could please answer each question in as much detail as possible, and return it at least 24 hours prior it will help Dr. Sands understand what you are seeing at home and come up with the best plan for you and your pet!

Owner's Name *

First

Last

Email *

Pet's Name *

Lifestyle

How much time do any of your cats spend outside?

How many litterboxes do you have and where are they in the house?

Are there other cats outside the house?

Do you have other pets?

Has anything recently changed in your household?

Current Medications

Please list each cat in household and all medications, supplements and/or over the counter products each of them takes. Be detailed in dosages and frequency.

Behaviors

Behaviors Desired To Be Changed - please be as specific as possible about what you are seeing happen at home and if it involves any other pets or people in the household.

What are the Triggers of Behaviors - please be as specific as possible.

Are there any other Medical Conditions being treated for your pet.

What are you doing at home to modify the behavior you are seeing? Please be as specific as possible

Feline Behavioral Questionnaire

Lifestyle

Current Medications

Behaviors

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