Skip to content
New Client
Request Refill
Facebook
About
Services
Wellness and Vaccinations
Speciality Care
Pain Management
Laser Therapy
Exotic Pets
Critical Care
Dentistry
Day Care and Boarding
Resources
Schedule Appointment
Fear Free Pet Evaluation
Request a Refill
New Client Form
Pet Health App
Explore Our Veterinary Education Library
Contact Us
Menu
About
Services
Wellness and Vaccinations
Speciality Care
Pain Management
Laser Therapy
Exotic Pets
Critical Care
Dentistry
Day Care and Boarding
Resources
Schedule Appointment
Fear Free Pet Evaluation
Request a Refill
New Client Form
Pet Health App
Explore Our Veterinary Education Library
Contact Us
Schedule Appointment
Online Pharmacy
Payments
download
Our
App
New Client
Request Refill
Facebook
Request Appointment
Online Pharmacy
Payments
download
Our
App
About
Services
Wellness and Vaccinations
Speciality Care
Pain Management
Laser Therapy
Exotic Pets
Critical Care
Dentistry
Day Care and Boarding
Resources
Schedule Appointment
Fear Free Pet Evaluation
Request a Refill
New Client Form
Pet Health App
Explore Our Veterinary Education Library
Contact Us
Menu
About
Services
Wellness and Vaccinations
Speciality Care
Pain Management
Laser Therapy
Exotic Pets
Critical Care
Dentistry
Day Care and Boarding
Resources
Schedule Appointment
Fear Free Pet Evaluation
Request a Refill
New Client Form
Pet Health App
Explore Our Veterinary Education Library
Contact Us
Mon – Fri: 7 AM – 6 PM
Sat – Sun: Closed
(320) 252-6700
2703 Clearwater Road
St. Cloud , MN 56301
Mon – Fri: 7 AM – 6 PM
Sat – Sun: Closed
(320) 252-6700
2703 Clearwater Road
St. Cloud , MN 56301
Fear Free Pet Evaluation
Stay up to date on medications with Companions Animal Hospital
Date
(Required)
MM slash DD slash YYYY
Full Name
(Required)
First
Last
Pet's Name
(Required)
What type of pet do you have?
(Required)
Dog or Cat
Bird
Does your pet show any reluctance to getting in the carrier?
(Required)
Yes
No
How and where does your pet travel in the car (e.g., carrier, seatbelt, loose, etc.)?
(Required)
During travel to the veterinary hospital, does your pet show any of the following behaviors?
(Required)
Eager and Excited
Reluctant
Hide
Drool
Vomit
Urine/BM
Subdued
Bark/Meow
Whine
Pant
Tremble
Pace
Other
During travel to the veterinary hospital, does your bird show any of the following behaviors?
(Required)
Eyes wide open
Darting looks
Freezing in place
Chewing toes
Defecating
Trying to fly away/escape
Feathers slicked tight
Eye pinning
Vocalizing
Freezing in place
Crouching/Quivering wings
Feather loss
Other
Does your pet prefer:
(Required)
Female veterinary professional
Male veterinary professional
It doesn't matter
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.
(Required)
Getting in their carrier or the car
Going into the exam room
Entering the veterinary hospital
Being put up on the table for examination
Other pets and/or people passing by while in reception/check-in
Being taken out of the exam room for procedures
Waiting with other people and animals in the waiting area
Loud voices during examination
Being approached by veterinary staff
Having a rectal temperature taken
Getting on the scale for a weight
Having direct eye contact with the technician and/or veterinarian
Hearing the doorbell, overhead intercom, or phones ringing
The use of instruments such as the stethoscope or otoscope (to look in ears)
Sounds coming from the back area of the practice
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.
(Required)
Getting in their carrier or the car
Going into the exam room
Entering the veterinary hospital
Being examined
Other pets and/or people passing by while in reception/check-in
Having direct eye contact with the technician and/or veterinarian
Waiting with other people and animals in the waiting area
Loud voices during examination
Being approached by veterinary staff
Being taken out of the carrier
Getting on the scale for a weight
The use of instruments such as the stethoscope
Hearing the doorbell, overhead intercom, or phones ringing
Being taken out of the exam room for procedures
Sounds coming from the back area of the practice
How would you describe your pet around other animals and people?
(Required)
Does your pet have any sensitive areas that s/he does not like to have touched by you or others?
(Required)
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 (e.g., nail trims, weight, temperature, ear exam, blood draw)? If so, how did your pet react?
(Required)
What are your pet's favorite treats? (Please bring some to your next visit to our hospital.)
(Required)
Does your pet like to play with toys? If so, what kinds?
(Required)
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 you experience?
(Required)
Anything else you would like us to know?
Phone
This field is for validation purposes and should be left unchanged.
Mon – Fri: 7 AM – 6 PM
Sat - Sun: Closed
