FELINE Kitten NEW Wellness Exam FELINE Kitten NEW Wellness Exam This form is designed to help our team gather important information about your pet's current status for your upcoming visit to our Fear Free clinic! Your pet's name:*Your name:*Where did you obtain your kitten?* breeder pet store shelter rescue organization humane society How long have you had your kitten?*How old was your kitten when you obtained him/her?*How many kittens were in the litter?*How old were the kittens when they were taken away from their mother?*How long has it been since you've owned a kitten? If you've never owned a kitten, please indicate:*Where does your kitten spend most of his/her day? (inside, outside, in a room, in a kennel, with you)?Did he/she have his/her first set of vaccines?* yes no Have you heard about our health plans, and would you be interested in reading about them while you are waiting for your pet?* yes no What food are you feeding your kitten? Please upload a photo below:* Drop files here or Select files Max. file size: 300 MB. Is your pet fed a grain-free diet? Yes No Is food available all the time or at set "mealtimes"?*How would you describe your kitten's litter box training?*How many other cats do you have at home?*How many litter boxes are set out, and where are they located in your home?*What type(s) and size(s) of litter boxes are you using (covered, uncovered, automatic, oval, large rectangular, etc.)?*What type and brand of litter do you use (scented or unscented, clumping versus clay)?*Does your kitten like to play with toys? Which type of toys does he/she prefer?*Does your kitten use a scratching post?*Please rate your pet's itchiness score from 1-10, 1 being not itchy at all, 10 being extremely itchy.*12345678910Stool Quality Score*Please rate your pet's stool quality score from 1-5, 1 being profuse diarrhea, 5 being extremely hard.12345Did you bring a stool sample today?* yes no Was your kitten previously dewormed?* yes no unsure What was used, and how often was it used to deworm your puppy?*Is your kitten flea prevention currently?* yes no Have you seen any fleas on your kitten?* yes no What is the name of the product you use?Has your kitten ever shown any growling, hissing, or mouthing/biting towards you or anyone else? If so, when?*Are there things your kitten is afraid of or does not like? If so, please describe.*Does your pet have a history of vaccination reaction?* Yes No Never been vaccinated If things go well and your kitten is not exhibiting any signs of stress, are you interested in having him/her microchipped with a Tchip today?* yes no he/she is already microchipped Please list any questions/problems/concerns for Dr. Jinni that you would like addressed:Does anyone in your household have a peanut allergy?* Yes No Δ