Questionnaire For Mature Pets (7+ years old)

Pet's first and last name:*:

Drinking:

Filling the bowl more often
Filling the bowl less often
Drinking from different sources (tap/toilet)

Urination:

Getting up at night
Accidents in the house
Different colour
Different odour

Appetite:

Current diet:

Weight:

Increased
Decreased
Stable

Hair Coat:

Body Odours:

Bad breath
Odour from ears
Odour from skin

Dental:

Bad breath
Red gums
Tooth staining
Broken teeth

Mobility:

Breathing:

Digestion:

Vomiting
Diarrhea
Constipation
Hairballs

Senses:

Loss of hearing
Loss of sense of smell
Vision loss/change

Behaviour:

Reduced family interaction
Increased vocalization or barking
Accidents in the house

Growths:

New growths
Changes in previous growths

Where are the growths?:

Please indicate if your pet has experienced any of the following changes.