Senior Clinic Questionnaire

Has your dog slowed down on walks recently?:

Yes
No

Do you now have to help your dog up, or into/out of the car?:

Yes
No

Does your dog have red/weepy eyes often?:

Yes
No

Has your dog shown signs of confusion/disorientation?:

Yes
No

Has your cat stopped jumping onto/off surfaces or going up/down stairs?:

Yes
No

Has your pet's appetite changed?:

Yes
No

Has your pet's thirst changed?:

Yes
No

Is your pet urinating more?:

Yes
No

Has your pet gained or lost weight?:

Yes
No

Has your pet's hair coat changed?:

Yes
No

Do you think your pet has trouble seeing?:

Yes
No

Select a surgery:

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