Submittable Behavior Questionnaire

Does your pet show any reluctance to getting in the carrier or car? Yes No

During travel to the veterinary hospital, does your pet do any of the following Eager & excited Reluctant Hide Drool Vomit Urine/BM Subdued Bark/Meow Whine Pant Tremble Pace Other

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 Entering the veterinary hospital Other pets and/or people passing by while in reception/check-in Waiting with other people and animals in the waiting area Being approached by veterinary staff Getting on the scale for a weight Hearing the doorbell, overhead intercom, or phones ringing