Before you begin...

What's your name?

What's your Email?

What's your dog's name?

1. How old is your dog?

select age under 1 year 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11 years 12 years 13 years 14 years 15 years 16 years 17 years 18 years 19 years 20 years 21 years 22 years over 22 years

2. How much does your dog weigh?

select weight 0 to 5 lbs 5 to 12 lbs 13 to 19 lbs 20 to 49 lbs 50 to 89 lbs 90 lbs and up

3. What is your dog’s weight for his/her size?

Normal, you can easily feel your dog's ribs by sliding your hands along you’re his/her sides
Too thin, his/her ribs and hips are more visible and more boney than the average dog's
Too chubby, you cannot feel his/her ribs, instead the sides feel like a solid slab of muscle and fat

4. Does your dog have any of these behavioral problems? Check all that apply.

Begs for food
Barks Incessantly
Bites your hand when you pet him/her
Is hyperactive and jumps on people
Destroys the house when you leave home
Eats rocks, linoleum, and rubber
Eats feces from the litter box or lawn
Wanders at night, gets lost in corners, acts confused

5) Does your dog have problems getting up from a sleeping position or jumping into the car?

Never
Occasionally
Frequently

6) Does your dog swim or play in the water sprinkler?

Never
Occasionally
Frequently

7) Does your dog cough, especially at night?

Never
Occasionally
Frequently

8) Does your dog go to daycare or a boarding kennel?

Never
Occasionally
Frequently

9) Does your dog scratch him/herself, especially near the tail or belly?

Never
Occasionally
Frequently

10) Does your dog refuse to take medications or spit them out?

Never
Occasionally
Frequently

11) What medical problems does your dog have? Check all that apply.

Arthritis
Does your dog have difficulty going up or down stairs?
Does your dog have trouble getting up from a sitting position?
Does your dog snap or bite when petted over his/her hips or back?

Chronic infections
Does your dog need antibiotics often?
Does your dog get sick after being boarded?
Does your dog have repeated infections?

Coat problems

Does your dog have a scruffy, thin coat?
Does your dog shed excessively, leaving hair all over the house?
Does your dog have trouble with fleas even though you apply Frontline or Advantage?

Dental problems
Does your dog chew hard objects that break his/her teeth?
Does your dog have bad breath?
Does your dog have tartar, dark red gums, or need frequent dental care?

Digestive problems
Does your dog vomit frequently?
Does your dog have a poor appetite?
Does your dog have trouble keeping weight on?
Does your dog have feces and mats of hair clinging to his/her bottom?
Does your dog have frequent diarrhea or loose stools?
Does your dog strain to defecate or have small, hard stools?
Does your dog eat rocks, suck on linoleum, or crave unusual objects?
Does your dog routinely take aspirin, Rimadyl, or any other nonsteroidal anti-inflammatory drug (NSAID)?
Has your dog been diagnosed with kidney disease?

Ear problems
Does your dog scratch his/her ears?
Does your dog have smelly ears?
Does your dog swim frequently?
Does your dog have trouble hearing you?
Does your dog have dark, crumbly discharge in his/her ears?
Does your dog walk with his/her head tilted to one side?

Eye problems
Does your dog have red, dry, painful eyes, occasionally with discharge?
Does your dog ride in the car with his/her head out the window?
Do your dog's eyes seem to bulge or look larger than normal?
Does your dog have excessive tears?
Does your dog tire easily?
Does your dog breathe rapidly?
Does your dog live where mosquitoes carry heartworm?
Does your dog cough, especially when lying down at night?

Hormonal or endocrine problems
Does your dog have sugar diabetes?
Does your dog take Soloxine for his/her underactive thyroid gland?
Does your dog have Cushing's disease?
Does your dog take pancreatic enzymes for EPI, exocrine pancreatic insufficiency?

Kidney or bladder disease
Does your dog urinate frequently?
Does your dog have bladder stones or crystals?
Does your dog drink significantly more than he/she used to?
Has your dog been on nonsteroidal anti-inflammatory drugs (NSAIDs), such as Rimadyl?
Has your dog taken aminoglycoside antibiotics, such as gentamicin?

Mental confusion
Does your dog stand and stare at the wall?
Does your dog wander about aimlessly at night?
Has your dog forgotten his/her training and begun to eliminate either urine or stool in the house?

Rectal or anal sac problems
Does your dog scoot on his/her bottom?
Does your dog cry out or whine when he/she defecates?
Does your dog have anal sac inflammation or infection?
Does the groomer need to express your dog's anal sacs every time he/she goes in to be groomed?
Does your dog have a moist infection around his/her rectum or under his/her tail?
Does your dog hold his/her tail clamped down most of the time?

Skin problems
Does your dog itch and scratch frequently?
Does your dog chew his/her legs?
Does your dog rub his/her face or ears?
Does your dog need frequent antibiotics or medications for skin infections?