Puppy/Kitten Appointment Questionnaire Pet NameClient NameDate MM slash DD slash YYYY Reason for visit:1. How did you acquire your new pet?2. Is there a history of any previous vaccinations and/or dewormings? If yes, what are the dates?Dates:3. Is your pet on any prescriptions or supplements?4. What type of food is your pet eating?5. Are there any concerns with your pets behavior or obedience?6. How is house training going?7. Do you plan to travel with your pet outside of Lane County?8. Is there anything specific you would like to address with the doctor today?Client questions:1. Have you or anyone in your household been exposed to Covid-19 within the past 10 days? Yes No If so, when?2. Have you or anyone in your household had any respiratory illness within the past 10 days?3. What is the best phone number to reach you at?Is there anything else you’d like us to be aware of regarding your pet or yourself?Which type of appointment would you prefer? Curbside (wait in your vehicle while our team provides care) In Person Appointment (accompany your pet into the examination room) Outdoor Gazebo