‘Golden Oldies’ Health & Wellness Questionnaire for Cats

To enable your nurse to prepare for your dogs visit to our Golden Oldies Health & Wellness clinic, it’s useful to complete and submit the questionnaire below.

Title*

Your Name*

Your Email*

Address line one*

Address line two

Town*

County*

Postcode*

Pet's name*

Age*

Breed*

Appetite and Dental Health
Is your cat:

Eating*

Are they taking longer to eat meals*?

Have you noticed any drooling or bad breath?*

Drinking*

Mobility
Is your cat:

Moving*

Can your cat get up and down off furniture, etc.*

Does your cat appear stiff after rest?*

Toileting

Is your cat an indoor Cat?*

Have you noticed your cat urinating*:

Does your cat ever urinate in the house outside their litter tray?

Have you noticed any change in faeces?*

Behaviour

Have you noticed any changes in your cat's behaviour?*

Have you noticed your cat is more irritable or grumpy?*