FELINE Kitten Wellness Exam FELINE Kitten 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 does your kitten spend most of his/her day? (inside, outside, in a room, in a kennel, with you)?Last visit we gave you information on our kitten health plans. Do you have any questions?* yes, sign me up! no, thanks I'm interested, but I have more questions! Have you had a chance to look into the medical insurance for your kitten?* yes, I signed my pet up, or plan to no, I'm not interested I'm unsure 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 your kitten 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 Have you seen any fleas on your kitten?* yes no 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