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Please note that we are closing at 4pm on March 31 for hospital maintenance and will reopen on April 1 at 8am.

ACUPUNCTURE QUESTIONNAIRE

Which practice would you like to register with?

Have we seen your pet here at Dundas West Animal Hospital before?
Is your pet:
Has your pet shown any behavioral, personality, or temperament changes recently?
Which of these words (if any) best describe your pet when (s)he is healthy and feeling well? (Question 1 of 5)
Which of these words (if any) best describe your pet when (s)he is healthy and feeling well? (Question 2 of 5)











Which of these words (if any) best describe your pet when (s)he is healthy and feeling well? (Question 3 of 5)
Which of these words (if any) best describe your pet when (s)he is healthy and feeling well? (Question 4 of 5)
Which of these words (if any) best describe your pet when (s)he is healthy and feeling well? (Question 5 of 5)
How well does your pet sleep through the night?
Have any diagnostic tests been performed related to your pet's current health concern?
Security Question *