Date *

Client Name *

First

Last

Email *

Patient's Name *

What is your pet’s reaction to going to the vet? *

Check any situations listed that your pet has shown avoidance or dislike of in the past:

How and where does your pet travel in the car?

How does pet behave in the car?

How does your pet do with handling?

Does your pet have any sensitive areas?

Does your pet have a favorite treat?

Anything else we should know?

Exotic/Reptile Fear Free Pre-Visit QUESTIONNAIRE

Is your exotic or reptile ready for their low stress experience?