Fear Free Pre-Visit Client Questionnaire As a Fear Free Certified Professional team, we want your pet's veterinary experience as enjoyable and as stress free as possible. As such, it's important for us to understand what your pet might find upsetting. The 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 preferencesYour Name Pet Name How would you describe your pet's reaction to going to the veterinary hospital? Eager and Excited Subdued Reluctant Somewhere in between Check any situations listed below that your pet has shown avoidance or dislike of in the past. You can add additional comments at the end. Getting in their carrier or the car Going into the exam room Entering the veterinary hospital Being put up on the table for examination Other pets and/or people passing by while in reception / check-in Having direct eye contact with the technician and/or veterinarian Waiting with other people and animals in the waiting area Loud voices during examination Being approached by veterinary staff Having a rectal temperature taken Getting on the scale for a weight The use of instruments such as stethoscope or otoscope (to look in the ears) Being taken out of the exam room for procedures Hearing the doorbell, overhead intercom, or phones ringing Sounds coming from the back areas of the practice Does your pet exhibit signs of fear, anxiety, or stress in the car? Does your pet have difficulty getting into its carrier? Does your pet show signs of nausea with car travel, such as drooling or vomiting? How would you describe your pet around other animals and people? Does your pet have any sensitive areas that he does not like to have touched or examined? Are there any procedures your pet has not liked in the past or that seemed difficult for you or the staff to do? (nail trims, weight, temperature, ear exam, blood draw) If so, how did you pet react? What are your pet’s favorite treats or flavor of treats? Has your pet ever been prescribed any medications to help with a visit to the veterinary hospital? If so, please list below: Anything else you would like us to know? Δ
