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  • Feline Lifestyle Assessment

  • Date

  • My cat's story

  • To me, my cat is: (please check all that apply)
  • Is there anything you would like to add to your cat's story?

  • My cat's exercise and nutrition assessment

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  • For exercise, my cat (check all that apply):
  • For primary nutrition, my cat eats (check all that apply):
  • For treats, I use (check all that apply)
  • Is there anything you would like to add or ask about regarding your cat's exercise and nutrition?

  • Environmental Risks

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  • My cat likes to visit (check all that apply)
  • My cat likes to get into (check all that apply)
  • Does your cat have any special environmental risks we should know about?

  • Health Survey: Are you seeing any changes in your pet since our last visit?

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  • Let's start with their mouth:

  • What about your cat's mouth? (check all that apply)
  • What dental care do you do at home? (check all that apply)

  • And their eyes:

  • My cat's eyes (check all that apply)

  • Ears:

  • My cat's ears (check all that apply):

  • Heart and Lungs:

  • My cat (check all that apply)

  • Skin and Body:

  • My cat's coat and body (check all that apply)

  • Mobility and movement:

  • My cat(check all that apply)

  • Weight and appetite:

  • My cat (check all that apply)

  • GI system:

  • My cat (check all that apply)

  • Behavior and Cognition:

  • My cat (check all that apply)
  • Have there been any other health changes that we should be aware of?
  • Are there any other questions you would like us to address at your next visit?

  • 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.

     

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