Annual Pre-Visit Questionnaire – Happier at Home Mobile Veterinary Hospital

Skip to main content

Hit enter to search or ESC to close

Home
About Us
- Our Team
Services
Pet Health
Contact Us
Online Pharmacy
facebook

search

Annual Pre-Visit Questionnaire

Owner's Name
Name*
First Last
Email*
Enter Email Confirm Email
Primary Phone #*
Pet Information
Pet's Name*
What food does your pet eat?*
Please list the brand(s) and amount
Is your pet on any medication(s)/supplement(s)? If so, please list the medication/supplement, dose, and frequency.*
Fear Free Questions
We want to make your pet’s veterinary experience as enjoyable and as stress-free as possible.
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.*
- Select All
- Getting in their carrier or the car
- Entering the veterinary hospital
- Being approached by veterinary staff
- Getting on the scale for a weight
- Being put up on the table for examination
- Loud voices during examination
- Having a rectal temperature taken
- Having direct eye contact with the technician and/or veterinarian
- The use of instruments such as the stethoscope or otoscope (to look in the ears)
- None of the above
How would you describe your pet around other animals and people?*
Does your pet have any sensitive areas that s/he does not like to have touched by you or others?*
Are there any procedures your pet has not liked having performed at the veterinary hospital 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 your pet react?*
What are your pet’s favorite treats? (Please bring some to your next visit with us):*
Does your pet like to play with toys? If so, what kinds?*
Has your pet ever been prescribed any supplements or medications to help with a visit to the veterinary hospital? If so, what was it and what sort of results did your experience?*
Anything else you would like us to know about your pet?

Δ

Contact Us

Reach out to us and we will be happy to answer any questions, discuss your pet’s health and book an appointment.

Mailing Address

P.O. Box 89
Bel Air, MD 21014

Contact

Phone: 443-966-4558
Email: info@happierathomevet.com

Hours

Monday – Friday:
9:00 am – 5:00 pm
Saturday:
Dental Procedures by appointment only
Sunday:
Closed

© 2025 Happier at Home Mobile Veterinary Hospital.
Powered by LifeLearn Veterinary Websites

Home
About Us
- Our Team
Services
Pet Health
Contact Us
Online Pharmacy

facebook