Fear Free Questionnaire

Name: Spencer Creek Animal Hospital
Address: 520 Jungermann Rd., St. Peters, MO, 63376, United States
Telephone: 636-447-3727
Price range: $

Date

MM slash DD slash YYYY

Client's Name(Required)

First Last

Pet's Name(Required)

As Fear Free Certified Professionals, we want to make your pet's veterinary experience as enjoyable and as stress-free as possible.

As such, it's important for us to understand what your pet might find upsetting. The information will help us to adjust our care to better serve and comfort your pet. Please answer the following questions to the best of your ability so we can take into consideration both your and your pet's preferences.

Does your pet show any reluctance to getting in the carrier?(Required)

Yes

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 signs of the following behaviors?(Required)

Eager and Excited

Reluctant

Hide

Drool

Vomit

Urine/BM

Subdued

Bark/Meow

Whine

Pant

Tremble

Pace

Other

None

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 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

Sounds coming from the back areas of the practice

Going into the exam room

Being put up on the table for examination

Being taken out of the exam room for procedures

Loud voices during examination

Having a rectal temperature taken

Having direct eye contact with the technician and /or veterinarian

The use of instruments such as the stethoscope or otoscope (to look in the ears)

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 (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 at 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?

Location



520 Jungermann Rd.
St. Peters, MO 63376

Click here for directions.

Contact Info



636-447-3727



wecare@spencercreekvet.com

Open Hours



Mon-Wed: 8am - 6pm
Thur: 8am - 4pm No DVM in clinic
Fri: 8am - 6pm
Sat: 8am - 1pm
Sun: Closed

Get in touch!

Our team is here to help! Complete the form below to get in touch. If you're in need of immediate assistance, please contact us at 636-447-3727.

Name *

First

Last

Email *

Phone

How can we help you? *

Phone

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