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Feline Health Questionnaire

Fill out and submit this questionnaire before your cat's appointment.

Cat With Blue Eyes

Diet & Feeding Routine


Please tell us everything your cat eats and drinks in a typical day. The more detail you can provide, the better we can tailor our recommendations.

What type of food does your cat eat? (Select all that apply)
How is your cat typically fed?
Have you noticed any increase/decrease or other changes in your cat's drinking habits?
Have you observed any changes to your cat's urination habits?
Have you observed your cat sneezing?
Has your cat been coughing?
Has your cat been vomiting?
Have you noted any discharge from your cat's eyes or nose?
Is your cat experiencing any musculoskeletal issues, such as limping or lameness, stiffness, or a decreased ability to jump?
Have you felt any new lumps or bumps on your cat, or changes to any previously noted masses?
Have you noticed that your cat seems itchy or is suffering from a dermatologic issue?
Has your cat been experiencing loose stools or diarrhea?
Have you observed any change in your cat's physical appearance in regards to weight?
Does your cat spend time outside? (including porches, both screened and not)
How regularly do you give your cat flea/heartworm prevention?
Does your cat currently take any prescribed medications?

Vaccine Recommendations


Vaccinations are an important part of preventive care and help protect cats from serious and potentially life-threatening diseases. Even indoor cats may be at risk through accidental escape, exposure to other animals, or infectious organisms brought into the home.


Rabies Vaccine: Rabies is a fatal viral disease that can affect both animals and humans. Rabies vaccination is required by North Carolina law for cats over 16 weeks of age. Depending on your cat's age and vaccination history, a one-year or three-year vaccine may be recommended.


FVRCP (“Distemper”) Vaccine: This vaccine helps protect against several highly contagious feline diseases, including panleukopenia (“feline distemper”), rhinotracheitis (herpesvirus), and calicivirus. These diseases can cause serious respiratory, gastrointestinal, and systemic illness.


Feline Leukemia (FeLV) Vaccine: This vaccine helps protect against feline leukemia virus. FeLV vaccination recommendations are based on factors such as your cat's age, lifestyle, outdoor access, and potential exposure to other cats.


Our medical team will review your cat's vaccination history and individual risk factors during the visit and discuss any vaccines that are due or recommended. Vaccine decisions can then be made with you based on your cat's individual needs.

Wellness Bloodwork Recommendations


Routine wellness bloodwork is an important part of our preventive care recommendations. Cats are very good at hiding illness, and changes in their internal health can develop before noticeable symptoms appear at home.


Preventive bloodwork allows us to establish your cat's individual baseline, monitor for changes over time, and may help identify conditions such as kidney disease, hyperthyroidism, diabetes, liver disease, infection, and other common feline illnesses earlier.


The type and frequency of testing we recommend will depend on your cat's age, health history, medications, previous laboratory results, and individual risk factors. Our medical team will review any recommendations with you during your cat's visit.

Additional Services Requested


Please let us know if there are any additional services you would like us to provide during your cat’s visit, such as a nail trim, ear cleaning, or sanitary trim, or if there are any other concerns you would like addressed.


You may also use this section to request medication refills, prescription food, flea or heartworm preventatives, or other take-home items.

Felines First Veterinary Hospital is proud to have Fear Free Certified Professionals. Have you filled out a Pre-Visit Questionnaire for your cat this year? Please visit here and help us "take the pet out of petrified".

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