As your pet ages, behavioural changes or signs of deterioration can often occur. Answering some simple questions can help identify any age related issues early on. This survey will help us assess issues that require immediate medical attention or monitoring at home. Senior pet screening is recommended for all patients 7 years of age and older. Feel free to print this blog as a reference for your pet’s next visit.
Have you noticed any changes in your older pet’s habits or behaviour?
0 = Never 1 = Rarely 2 = Sometimes 3 = Often
Seek attention less often? _____
When did the problem start? _______________
Seem listless or less responsive to interaction? _____
When did the problem start? _______________
Appear lost or confused in the house or yard? _____
When did the problem start? _______________
Fail to recognize familiar people or other pets? _____
When did the problem start? _______________
Sleep more during the day or less during the night? _____
When did the problem start? _______________
Wander, pace or exhibit signs of restlessness? _____
When did the problem start? _______________
Urinate indoors? _____
When did the problem start? _______________
Have accidents indoors right after being outside? _____
When did the problem start? _______________
Is your pet currently taking any medications for cognitive dysfunction syndrome (CDS)? If yes, please list: ________________________________________________________________________________
Has your pet ever been prescribed medications for cognitive dysfunction syndrome (CDS) in the past? If yes, please list: ______________________________________________________________________
Have you noticed any changes in your pet’s health?
0 = Never 1 = Rarely 2 = Sometimes 3 = Often
More frequent urination? _____
When did the problem start? _______________
Signs of increased stiffness, limping, difficulty climbing stairs? _____
When did the problem start? _______________
Noticeable weight gain or loss? _____
When did the problem start? _______________
Changes in coat or skin? _____
When did the problem start? _______________
New lumps or bumps, or changes in appearance of existing ones? _____
When did the problem start? _______________
Bad breath or red and swollen gums? _____
When did the problem start? _______________
An increase in appetite? _____
When did the problem start? _______________
A decrease in appetite? _____
When did the problem start? _______________
Vomiting? _____
When did the problem start? _______________
Diarrhea or stool with mucus or blood? _____
When did the problem start? _______________
Constipation or difficulty defecating? _____
When did the problem start? _______________
An obvious increase in thirst and excessive water drinking? _____
When did the problem start? _______________
Coughing, weakness after exercise, prolonged panting? _____
When did the problem start? _______________
Muscle tremors or shaking? _____
When did the problem start? _______________
Weak, uncoordinated movements? _____
When did the problem start? _______________
Signs of vision loss (ex: bumping into objects, fear of moving forward) ? _____
When did the problem start? _______________
Signs of hearing loss (ex: lack of response when called or at loud noises) ? _____
When did the problem start? _______________
Do you have any worries or concerns about your pet that are not included in the chart above? If so, please describe: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
If you have any questions or concerns regarding your pet’s habits or changes, please call us at (519) 250-0099.
