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Call Us:519-396-2071
Fear Free Questionnaire
As Fear Free Certified Professionals, we want to make your pet’s veterinary experience as enjoyable and as stress-free as possible. As such, it’s important for us to understand what your pet might find upsetting. The information will help us to adjust our care to better serve and comfort your pet. Please answer the following questions to the best of your ability so we can take into consideration both your and your pet’s preferences.
Today's Date
Date Format: MM slash DD slash YYYY
Client's Name
First
Last
Pet's Name
Does your pet show any reluctance to getting in the carrier?
Yes
No
How and where does your pet travel in the car (e.g., carrier, seatbelt, loose, etc.)?
During travel to the veterinary hospital, does your pet show any of the following behaviors?
Eager and Excited
Reluctant
Hide
Drool
Vomit
Urine/BM
Subdued
Bark/Meow
Whine
Pant
Tremble
Pace
Other
Hold down the CTRL button to select multiple options.
If "Other" was selected, please note below
Does your pet prefer:
Female veterinary professionals
Male veterinary professionals
It doesn’t matter
Check any situations listed below that your pet has shown avoidance or dislike of in the past. You can add additional comments at the end
Getting in their carrier or the car
Entering the veterinary hospital
Other pets and/or people passing by while in reception/check-in
Waiting with other people and animals in the waiting area
Being approached by veterinary staff
Getting on the scale for a weight
Hearing the doorbell, overhead intercom, or phones ringing
Sounds coming from the back areas of the practice
Going into the exam room
Being put up on the table for examination
Being taken out of the exam room for procedures
Loud voices during examination
Having a rectal temperature taken
Having direct eye contact with the technician and/or veterinarian
The use of instruments such as the stethoscope or otoscope (to look in the ears
Hold down the CTRL button to select multiple options.
How would you describe your pet around other animals and people?
Does your pet have any sensitive areas that s/he does not like to have touched by you or others?
Are there any procedures your pet has not liked having performed at the veterinary hospital in the past or that seemed difficult for you or the staff to do (e.g., nail trims, weight, temperature, ear exam, blood draw)? If so, how did your pet react?
What are your pet’s favorite treats? (Please bring some to your next visit to our hospital.)
Does your pet like to play with toys? If so, what kinds?
Has your pet ever been prescribed any supplements or medications to help with a visit to the veterinary hospital? If so, what was it and what sort of results did you experience?
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Home
Contact
Call Us:519-396-2071
Our Location
What to Expect
Emergencies
What We Do
Fear Free
Individualized Wellness
Surgery
Laser Therapy and Physical Rehabilitation
Who We Are
Our Team
Our Story
Resources
Book an Appointment
Prescription Refill and Food Order Request Form
Pet Health Library
How Sick is My Pet
How To Videos
PetPage App
Swiftails Exotic Vet Telemedicine
Traveling to The US
Webstore
twitter
facebook