Senior Pet Wellness Checklist

Please answer the below questions as honest as possible. There are no wrong answers! Check off the boxes that apply.

 

 

Diet

What diet is your pet currently on? *


Is your pet currently on a food labelled for seniors? *

How often does your pet get fed? *


Has your pet's appetitie increased or decreased recently? *


Has your pet lost or gained any weight recently? *


Have you noticed your pet drinking more water than usual? *

Eyes/Ears

Have your pet's eyes gotten cloudy? *

Does your pet have a hard time seeing at night? *

Does your pet walk into walls or furniture? *

Does your pet get lost in halls or rooms? *

Have you noticed your pet has a hard time coming when called? *

Oral Health

Does your pet have bad breath? *

Does your pet seem painful while eating? *

Do you have an at home dental routine (dental chews, brushing, water additives)? *

Urinary/Bowel Movements

Do you notice your pet having accidents in the house (inappropriate urination/defecation)? *

Do you notice your pet has to go outside/use litterbox more frequently? *

Have you noticed any sudden changes in urine or stool? *


(i.e. blood present, pus, increased or decreased urination volume, soft stool, super hard stool)

Neurologic Signs

Have you noticed your pet barks for no reason? *


Does your pet get lost in halls or rooms? *

Does your pet have sudden behaviour changes? *


i.e. irritable, lack of grooming, decreased desire to play

Does your pet seem to be disorientated/confused? *


i.e. no longer able to recognize other pets in the home, family members, staring at walls

Does your pet wander away from home when outside? *

Mobility

Does your pet have a hard time getting up and lying down? *

Does your pet seem to get tired easily on walks? *


Is your pet painful to the touch on back, hips, shoulders? *

Does your pet limp or seem stiff after getting up? *

Does your pet seem restless at night? *

Is your pet having a hard time using stairs, jumping on bed, or jumping on cat tree? *

Security Question *