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Home
About Us
Our History
Our Veterinarians
Our Care Team
Hospital Tour
Photo Gallery
Reviews
Testimonials
Employment Opportunities
Care to Share
Services
All Services
Wellness & Vaccinations
Ultrasound & Digital Imaging
Allergies & Dermatology
Radiology (Digital X-Rays)
Nutrition & Weight Management
Therapeutic Laser Therapy
General Surgery
Professional Grooming
General Dentistry
Behavioural Counseling
Ophthalmic Surgery
Microchipping
Adoptions
Resources
Vello
Trupanion Pet Insurance
New Client Registration
Online Store
Request a Product
Request a Refill
Request an Appointment
Diet History Questionnaire
Payment Options
Links
Contact
Blog
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Give us a call! 403-864-6402
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Diet History Questionnaire
*
Indicates required field
Pet Name:
*
Client Name:
*
What do you feed your pet in a day? Food/Treat | Form (Dry/Wet/Raw) | Amount | Times Per Day | Fed Since
If you feed raw, are there small children or immunocompromised individuals in the household?
Yes
No
What size measuring device do you use?
If you feed raw, how often do you deworm your pet?
Supplements & Medications
Do you give any dietary supplements to your pet? (vitamins, glucosamine, fatty acids, probiotics, etc.)
Yes
No
If yes, please list brands and amounts:
Is your pet on any medications? Please list all current medications:
Nutrition Goals & Lifestyle
What are you looking for with your pet's food? (grain free, raw, weight loss, medical concerns, urinary, kidney, pancreatitis, etc.)
How active is your pet?
Very Active
Moderately Active
Not Very Active
How would you describe your pet's weight?
Overweight
Ideal Weight
Underweight
Where does your pet spend most of its time?
Indoors
Outdoors
Indoors & Outdoors
Would you be open to discussing nutrition further?
Yes
No
Submit
Please do not fill in this field.
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