Questions list senior check for your dog Did you make an appointment for a senior check? Please fill in this questions list. Your name* First Last Name of the dog*Is the appetite of your dog reduced or increased?YesNoDoes your dog vomit regularly? If so, is this food or mucus?Does your dog drink more than usual?YesNoDoes your dog urinate more frequently and/or is the volume increased?YesNoDoes your dog gain or lose weight?Gain weightLose weightDoes your dog have a bad breath?YesNoDoes your dog cough or is your dog breathing differently?YesNoIs there a change in behavior or activity level of your dog?YesNoDoes your dog greet you in the same way as he/she used to do? YesNo What is your dog's endurance compared to when he was younger?WorseImprovedSimilarDoes your dog still like to go on walks?YesNoDoes your dog still like to run during the normal walks? YesNoDoes your dog have difficulty jumping (in the car) and/or walking stairs?YesNoDoes your dog still like to play?YesNoIs your dog on medication? If yes, what type and what dosage?Does your dog have hearing loss and/or poor vision?YesNoDo you have any specific questions or concerns about your dog?
