Pre-Exam Questionnaire – Kincardine Veterinary Services

Pre Exam Questionnaire

We also ask that you complete the following questionnaire and return it to us at least 24 hours before your appointment. As our COVID-19 protocols mean communication is more difficult, we would like to continue to provide excellent care for your pet and prevent details from falling through the cracks.

First Name:*
Last Name:*
Pet's Name*
Please list everything that goes into your pet’s mouth during a 24 hour period:
What specific diet is your pet eating? How much does your pet eat in a day?
How would you describe your pet’s appetite?
How is it compared to last year?
What does your pet chew on?
Please describe your pet’s breath:
How would you describe your pet's water consumption?
How is it compared to last year?
Please describe your pet’s bathroom habits for both urine and bowel movements:
How has this changed over the last year?
How often do you need to clean up messes (any kind of mess) after your pet? Please provide details.
Does your pet sleep through the night?
Does your pet sleep through the day?
How has this changed over the last year?
Please describe your pet’s ability to exercise, play, be active, get up and down:
How does your pet move?
Has any of this changed in the last two years?
FOR CATS: Does your pet go outside or is your pet strictly indoors?
How would you describe your pet’s weight now?
Has it changed in the last year and how?
Does your pet make any noise when breathing, cough, snore, or sneeze? Please describe.
Has your pet’s skin changed in the last year?
What have you noticed about your pet’s smell, coat thickness, flakiness or cleanliness?
What do you do to maintain your pet’s hair coat and ears?
Is your pet currently on any medication or supplements (parasite prevention included)? If so, please provide the name and dosing information for all products. (eg. 1 x 100 mg gabapentin twice daily)
Do you buy anything on line that you give to or put on your pet?
Has your pet ever had a reaction to a vaccination or a medication? If a medication, please list the medication and the reaction.
Please describe your pet’s behaviour in the house:
Is there any behavior you wish your pet did not do or that worries you?
Do you think your pet is happy?
Do you think your pet is healthy?
What does your pet mean to you?
What is your pet's nickname?
Is there anything you would like to discuss with the veterinarian specifically? If there is an issue, please try to get a video of the problem, or send in photos to info@kinvet.com.
If you are not currently a client with us, what is the name of your previous veterinary clinic?
Does your pet have pet insurance protection? If so, what company is it?
Thank you so much for taking the time to fill out this questionnaire. We look forward to seeing you soon!

You’ve Found Something Special

We promise to work with you to provide the most compassionate, the highest quality, and the most effective care for your pet.

Compassionate Care:
The ability to recognize distress, empathize with it, and act to relieve it.

Highest Quality Care: Continuous upgrading of knowledge and skills to ensure evidence based, best medicine approach to patient care.

Effective Care = Partnership Care: Working with pet owners to find the right solution for them and for their pet.

Hours of Operation

Mon, Tues, Thurs, & Fri: 8:30-5:00pm
Wed: 8:30am-1:00pm
Sat & Sun: Closed

Please call for more information.

In case of emergency after hours, on weekdays, call our clinic number at (519)-396-2071 to reach SmartVet, our online answering service. From there you’ll either have a virtual consultation with a licensed veterinarian or be transferred to us or one of our on-call partner clinics. On weekends, for urgent care you can either call our number to reach SmartVet or you can contact Bluewater Veterinary Emergency Clinic at (519) 964-0949.

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Call Us:519-396-2071