Senior Cat Questionnaire Home » Senior Cat Questionnaire Please answer to the best of your knowledge by observing your cat at home and submit at least 3 days prior to your appointment. Your Cat's Name*Surname*First line of address*Phone number*1. Any appetite changes?SameIncreasedDecreased2. What brand of food and food type do you feed?3. EatingSameIncreasedDecreasedEating okayPawing of mouthDribblingHalitosisFavouring one side4. DrinkingSameIncreasedDecreased5. Any vomiting seen?If so, please provide more information, including time of day and frequency, including whether this includes bile, hair or undigested food.6. FaecesNormalSoftHard7. UrinationSameIncreasedDecreased8. Toilet observationsPlease provide any additional observations in relation to toilet habits, including whether your cat straining to go to the toilet or in and out of the litter tray.9. Tray useIs your cat managing to use the tray or is there inappropriate toileting habits? Please specify the type of tray used.10. Movement observationsHow is your cat moving around? Jumping onto a bed, furniture or window ledges? Are they making it in one jump or staged smaller jumps?11. SleepingSameIncreasedDecreased12. VocalisationIncreasedDecreasedParticular times of the day13. SocialisingSameIncreasedDecreased14. GroomingSameIncreasedDecreased16. Grooming ObservationsDo you have any grooming observations, mats, bald patches, dandruff or nails caught in furniture?17. Anything else?Let us know if there is anything else of concern or you would like to discuss with your vet.CAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.
