Diet History Form

Please fill out the form below ahead of your appointment

Please answer the following questions about your pet, if requested to do so by Congleton Vets.
This shall enable us to better understand your pet’s nutritional needs, and allow us to help you make changes that will have a positive impact on their health and lifespan. 

 

About You and Your Pet

Is your pet a member of our Pet Health Club?
Today
Is Your Pet Neutered?

Please Tick Appropriate Answer

 
How Active is your Pet?
How would you describe your pet's weight?
Where does your pet spend most of their time?
 
If you feed by volume, what size measuring device do you use? If you feed tinned/canned food, what size tins/cans/trays/pouches?
 
Do you give any dietary supplements to your pet (E.G. Vitamins, Glucosamine, Essential Fatty Acids, or any other Supplements)?
 

Before you go… Did you know that members of our Pet Health Club receive 25% off selected food brands, both life-stage and prescription diets? Additionally, PHC members receive 10% off dietary supplements. And those aren’t the only benefits. Annual vaccinations, year-round flea and worming treatment, as well as a host of other savings are also included! All for an affordable monthly payment. Check out our Offers page for further information.

 

Thank you for completing this form. Your responses shall be attached to your pet’s clinical records, and a clinical member of staff will review these with you during your pet’s next appointment.

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