Pet Osteoarthritis Survey

Pet Osteoarthritis Survey

To evaluate your patients' needs, ask clients to answer the following questions:

1. My pet is _____ years old or _____ in human years.

2. Over the past year, I think my pet has

__lost weight

__gained weight

__stayed the same weight

3. My pet's stamina and ability to exercise or go for walks has decreased over the past year.

__Yes

__No

4. I've noticed my pet is slower to get up or lie down and doesn't play as much as before.

__Yes

__No

5. I've noticed new lumps or bumps on my pet over the past year.

__Yes

__No

6. My pet has developed an occasional cough, especially after walking or exercising.

__Yes

__No

7. My pet's

__hearing seems to be weaker.

__vision seems to be weaker.

__both hearing and vision seem the same.

8. I've noticed a few more "accidents" in the house over the past year.

__Yes

__No

9. My pet seems a little slower or less active and responsive than a year ago.

__Yes

__No

10. My pet's breath stinks.

__Yes

__No