The Veterinary Cat Clinic
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In Loving Memory
New Cat / Kitten Health Check Questionnaire
Please note - we require a separate form for each cat.
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Indicates required field
Name
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First
Last
Email
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Kitten / Cat's name
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About the appointment:
Have you already arranged an appointment for your kitten / cat?
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Yes
No
When is the appointment?
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Date and time
When your new cat or kitten comes in for it's appointment, our vets will perform a thorough health examination (including checking for fleas and ear mites) as well as checking a few other bits and pieces where relevant e.g. double checking the sex of a kitten / double checking the likely age of the kitten / does the microchip number correspond with the paperwork etc.
If your cat/kitten has NOT HAD any vaccinations previously, are you happy for our vets to start the course today (if appropriate)? A vaccination course requires 2 vaccinations which must be given 3-4 weeks apart.
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Yes, please.
No, thank you. We're only here for a health check today.
I would like to discuss this with a vet before deciding.
If your cat/kitten has ALREADY STARTED a vaccination course, are you happy for our vets to administer the second part at this appointment if appropriate?
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Yes, please.
No, thank you. We're only here for a health check today.
I don't know.
Please tell us about your cat:
Understanding your new cat's lifestyle and preferences is important for us to be able to make appropriate treatment recommendations.
How long have you owned your new cat/kitten for?
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Where did you get your new kitten/cat? e.g Rescue centre, gumtree, breeder. Please tell us which Rescue Centre if applicable.
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Was your kitten/cat been checked by a vet before you took it home?
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Yes
No
Once settled in / old enough, do you expect your new cat to be:
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Exclusively indoors
Indoors with supervised outdoor access ( eg on a lead/enclosed garden)
Free-roaming outdoors
Are there any other pets at home? Please specify.
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Are children likely to be interacting with your new cat/kitten? Please provide a rough age range of these children.
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When was the last recorded vaccination for your new pet (if any)? Please specify which vaccine brand was used. ( this information is available in your cat's vaccine record card)
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According to the vaccine record, when is your cat/kitten due it's next vaccination?
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When was your new cat/kitten given a worming treatment last?
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Has your new cat/kitten had any flea treatments applied. IF SO when and which brand?
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Do you have any plans to travel abroad with your cat?
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Never.
In the very near future.
It's a possibility at some point but no plans within the next 12 months.
How has your new cat/kitten settled in?
How has your new cat settled in? Please describe. e.g. confident, playful, shy, hiding away
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What is the relationship like between your new cat and any other pets living in the house? Please give brief description.
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Roughly how much does your new cat/kitten eat per day?
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What types of food are you offering your new cat/kitten?
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Combination of commercial wet and dry food.
Commercial wet food only.
Commercial dry food only.
My cat is on a special diet recommended by the vet.
Please tell us which brands you normally feed your new cat/kitten.
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What treats do you offer your new cat/kitten? How regularly does he/she get these?
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The health of your new cat or kitten
Please describe your new cat/kitten's normal attitude to food:
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Always seems hungry, eats with gusto.
Always seems hungry but only nibbles at what is offered.
Grazes throughout the day.
A fussy eater but eats well when offered his/her preferred foods.
A picky eater that is difficult to please/doesn't eat much at all.
How much does your cat/kitten drink?
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I almost never see him/her drinking.
My cat drinks regularly but only moderate amounts.
My cat will often spend a long time drinking from a water bowl (or other source).
I'm not sure.
Has this changed since you've owned your new cat/kitten?
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No, this has stayed the same.
Yes, he/she is eating less now.
Yes, he/she is eating more now.
How often does your cat/kitten have vomiting or diarrhoea? Please give a brief description.
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Does your cat/kitten suffer from itchy skin or ears? Please give a brief description.
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Has your cat/kitten's thirst changed?
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No, this seems to have stayed the same.
Yes, I think my cat is drinking more.
Yes, I think my cat is drinking less.
How often does your cat/kitten cough or sneeze? Please give a brief description.
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Does your cat/kitten tend to suffer with runny / sticky eyes or nose? Please give brief description.
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Does your cat/kitten show any signs of stiffness / hesitation when jumping / is slow going up or down stairs? Please give a brief description.
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Please provide details of any other concerns or questions you may have about your new cat/kitten.
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Last but not least....
(I bet you didn't realise quite how many questions your vet typically asks about your cat in a consultation!)
Other than flea and worming treatment, have you given your new cat/kitten any medication or supplements?
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Yes - I give him/her medication or supplements recommended someone else.
No.
Please tell us what medication or supplements you give AND when these were last administered
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At the end of (sometimes during) the examination, the vet will call you to discuss what they have found with your new cat/kitten and decide with you a treatment plan (if relevant). They will be happy to discuss any concerns you may have had with your new cat/kitten and will be able to offer advice on other relevant issues such as neutering, microchipping, insurance etc.
Please ensure you have a (charged - you'd be surprised!) mobile phone with you and that our vets are able to contact you on this throughout your appointment slot.
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