Annual Cat Health Form

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My cat spends most of their time:
Have you seen wildlife (raccoons, opossums, rats, mice, foxes, or skunks) anywhere your cat spends time outdoors?
My cat comes into contact with other cats....
My cat comes into contact with children?
Is your cat experiencing any of the following?
Do you feed your cat at set feeding times
Describe your cats weight best...
Which best describes your cat's breath? (please choose one)
Which best describes your cat’s water consumption?
Which best describes your cat’s stool?
Which best describes how often your cat vomits per week?
When my cat vomits, it is usually…?
Please check any of the conditions that your cat has experienced in the last year. (Check all that applies)
Have you noticed any changes in your cat’s ability to jump?
Is your cat avoiding certain areas they used to access (beds, counters, windows)?
How does your cat move around the home?
Have you noticed any of the following? (check all that apply):
Does your cat show any signs of pain when touched or picked up?
Have there been any changes in grooming habits?
Any recent injuries or known trauma?
Overall, how would you describe your cat’s mobility?
Is your cat experiencing limping, stiffness when rising, jumping on furniture or pain when going up or down stairs?
Has your cat stopped or become unable to perform activities they once did daily, such as jumping onto the bed, countertops, or a windowsill?
Are you using the prevention year round?
Is your cat currently taking any medications, other than ones dispensed from our hospital?
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