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Your Pet's Annual Health Check-Up Questionnaire

Your pet's annual check-up includes a health exam, consultation, the updating of medical history and any vaccinations which are about to expire. Because animals can't talk and because they age, on the average, 7 times faster than humans, this scheduled health check becomes far more important for your pet than it is for yourself.

Any health problems we discover will be brought to your attention and solutions will be discussed. We can detect hidden problems in their very early stages before they are obvious to you. By Catching these problems early, we are often able to solve them more rapidly, saving your pet unnecessary discomfort and saving you the cost of more extensive treatment.

By answering the following questionnaire and bringing it with you on your next exam, Dr. Simon can review it and advise you on what steps need to be taken to solve your pet's problem. If you are concerned about, a specific health issue please let our receptionist know so she can take a brief history for the doctor. If you have any questions regarding your pet's nutrition or behavior, the annual health checkup is the time to ask.

By answering the following questions you will provide the doctor with information he needs to more thoroughly evaluate your pet's health status Choose either Y or N.

Y/N    Does your pet have flaky itchy skin, a dull lusterless coat, or shed excessively?
Y/N    Does your pet shake its head, scratch its ears, or drag its rear on the floor?
Y/N    Does your pet frequently lick at different areas of his or her body?
Y/N    Does your pet have an unacceptable body odor or bad breath?
Y/N    Has your pet's personality changed recently?
Y/N    Does your pet get up more slowly, run less, or hesitate to climb the stairs?
Y/N    Has your pet's gait changed? Does your pet appear stiff, lame, or painful?
Y/N    Does your pet tire more quickly?
Y/N    Has your pet's drinking, eating and eliminating behavior changed?
Y/N    Does your pet have reoccurring bouts of diarrhea and/or vomiting?
Y/N    Has your pet recently started to forget his or her house training?
Y/N    Does your pet look or feel thinner or heavier than normal?
Y/N    Does your pet cough, sneeze, or wheeze with greater frequency?
Y/N    Has your pet's breathing pattern changed in any way?
Y/N    Does your pet cry or whimper when touched in certain areas?
Y/N    Does your pet have skin growths or growth under the skin?
Y/N    Does your pet's hearing and vision seem to be deteriorating?
Y/N    Has your pet's abdomen developed a more "pot bellied" appearance?
Y/N    Are there any other health concerns


If your pet simply appears to be getting older, slowing down, becoming confused or disoriented or becoming less agreeable please let us know. Aging is inevitable but there are many things we can now do to slow the aging process and give your pet additional years of comfortable, quality life. Many dogs and cats begin to show signs of aging as early 7 years of age. The sooner we start treating such aging problems the more effective we can be at extending the life of your very special friend.