FELINE Parasite Control FELINE Parasite Control 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 cat spend most of his/her day? (inside, outside, in a room, in a kennel, with you)?*Has your cat shown any of these signs? Select all that apply* coughing sneezing itching diarrhea vomiting lack of appetite none of the above 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 Does you cat hunt mice and wildlife?* yes no unsure How much time does your cat spend outside unattended or roaming freely?* Is your cat on flea/tick prevention currently?* yes no Have you seen any fleas on your cat in the last year?* yes no What, if any, medications (over the counter or prescription) does your cat take or have applied routinely?*Does your cat have a history of vaccination reaction?* Yes No Never been vaccinated If things go well and your cat 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 Has your pet bitten any person in the last 10 days which broke the skin?* yes no Does anyone in your household have a peanut allergy?* Yes No Δ