Date *

Client Name *

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Dog's Name *

As Fear Free Certified Professionals, we want to make your dog’s veterinary experience as enjoyable and as low-stress as possible. As such, it’s important for us to understand what your dog might find upsetting. The information will help us to adjust our care to better serve and comfort your dog. Please answer the following questions to the best of your ability so we can take into consideration both your and your dog’s preferences.

Does your dog show any reluctance to getting in the carrier or car? *

Yes
No

How and where does your dog travel in the car? (carrier, seatbelt, loose, etc.): *

During travel to the veterinary hospital, does your dog do any of the following:

Other: *

Check any situations listed below that your dog has shown avoidance or dislike of in the past. You can add additional comments at the end.

How would you describe your dog around other animals and people? *

Does your dog have any sensitive areas that s/he does not like to have touched by you or others? *

Are there any procedures your dog has not liked having performed at the veterinary hospital in the past or that seemed difficult for you or a team member to do (nail trims, weight, temperature, ear exam, blood draw, etc.)? If so, how did your pet react? *

What are your dog’s favorite treats? (Please bring some to your next visit to our hospital): *

Does your dog like to play with toys? If so, what kind? *

Has your dog 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? *

Anything else you would like us to know?

Canine Fear Free Pre-Visit QUESTIONNAIRE

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