info@highlandsveterinaryhospital.com.au
(02) 4872 1144
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Today's Date:
Owner's Details
Owner's Name:
First Name:
Last Name:
Email:
Phone:
Pet's Details
Pet's Name:
Pet Species:
Dog
Cat
Breed:
Pet Age:
Sex:
Male
Neutered Male
Female
Spayed Female
How often does your pet beg?:
Often
Sometimes
Never
Does you cat meow or dog beg for more food after feeding?:
Yes
No
Does your pet try to steal food or scavenge for food (get into trash, try to open doors or cabinets, etc)?:
Yes
No
Does your pet follow you everywhere and are they persistent?:
Often
Sometimes
Never
Do you have any other pets?:
Yes
No
What do you feed your pet through the day?:
Dry food
Tinned food (cans or pouches)
Home prepared (e.g. fresh meat, fish)
Table scraps (e.g. meat, fish, cheese)
Purchased snacks and treats
Other
Other Option
Do you feed your pet any of the following?:
Purchased treats
Table scraps/leftovers
Human food
Pet food used as treats/rewards
Chews (rawhide, dental)
Other
Other Option
What brand of food do you feed your pet at meal times?:
What does your pet drink?:
Water
Milk
Other
Other Option
How many times do you feed your pet each day?:
1
2
3
4
Left out all day
What times do you feed your pet and where?:
How do you measure your pet's daily feeding portions?:
No measurement, estimate only
Cat used free access feeder
Measuring cup
Fill bowl
Weigh food on scales
Mug/cup
Other
Other Option
Does your pet hunt?:
Yes
No
Does your pet bring back prey to the house?:
Yes
No
Notes:
Email Address
HIGHlands Locations We Serve
Braemar
Mittagong
Colo Vale
Alpine
Aylmerton
Renwick
Welby
Bowral
Moss Vale
Hill Top
Yerrinbool
Burradoo
Berrima
Contact Details
66 Old Hume Hwy
Braemar NSW 2575, Australia
(02) 4872 1144
info@highlandsveterinaryhospital.com.au
Hours
Mon - Fri: 8:15 am to 5:00 pm
Sat: 8:15 am to 12:00 pm
Sun: Closed
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