Fear Free Pre-Visit QuestionaireFear Free Pre-Visit Questionaire Name(Required) First Last Patient(Required)As Fear Free certified professionals, we want to make your pet’s visit to our hospital as enjoyable and stress free as possible. It’s important for us to understand what your pet might find upsetting. This information will help us to adjust our care to better serve and comfort your pet. Please answer the following questions to the best of your ability so we can take into consideration both you and your pet’s preferences.How would you describe your pet’s reaction to going to the veterinary hospital? Eager and excited Reluctant Subdued Somewhere in betweenCheck any situation that your pet has shown avoidance or disliked in the past: Getting in their carrier or car Entering the veterinary hospital Other pets and/or people passing by while in waiting room Waiting with other people/animals in waiting room Being approached by veterinary staff Getting on the scale for a weight Sounds coming from back area of hospital Going into exam room Being put up on table for examination Having direct eye contact with the technician and/or veterinarian Loud voices during examination Having rectal temperature taken The use of instruments such as the stethoscope or otoscope (to look in the ears) Being taken out of the exam room for proceduresDoes your pet prefer: Female veterinary professional Male veterinary professional It doesn’t matterWhat are your pet’s favorite treats? (We suggest you bring some to your visit.)Does your pet like to play with toys? If so what kinds? (We suggest you bring a favorite toy to your visit).Has your pet ever been prescribed any medications to help with a visit to the veterinary hospital? If so, what medications were they and what sort of results did you see?A successful Fear Free visit starts at home and continues during your travel to our hospital. To help you provide your pet with a pleasant experience on the way to the hospital, I can email you some preparation tips. I have a few questions regarding travel to see if we need to make any special recommendationsHow and where does your pet travel in the car? Carrier Seatbelt LooseHow does your pet behave in the car? Barking Whining Restless Pacing Panting Drooling Trembling Hiding Nausea VomitingCAPTCHAΔ
