Weight Clinic Questionnaire



Are there any other pets in your household?:

If you own more than one pet, do you feed them separately?:

How would you describe your pet's body condition?:

Dietary Information

Is the food wet, dry or a mix of both?:

Does your pet's current feeding regimen satisfy him or her?:

Do you give additional treats, table scraps, etc. throughout the day?:

Pet Lifestyle

How would you describe your pet's activity levels?:

Who exercises and plays with your pet?:

Does this include off-lead exercise?:

Is this Inclusive of additional bursts of exercise (e.g. chasing ball/frisbee/squirrels, playing with other dogs etc.).:

Is your pet currently on any medication?:

Security Question: