Select the closest applicable answer to each question
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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Question 1 of 20
1. Question
3 point(s)My companion’s desire to be with the family is the same.
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does not describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 2 of 20
2. Question
3 point(s)My companion interacts normally with family members including pets (no increased aggression, withdrawal etc.)
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 3 of 20
3. Question
3 point(s)My companion’s appetite is the same
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 4 of 20
4. Question
3 point(s)My companion’s drinking is the same
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 5 of 20
5. Question
3 point(s)My companion’s urination habits are the same
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 6 of 20
6. Question
3 point(s)My companion’s bowel movements are the same
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 7 of 20
7. Question
3 point(s)My companion’s ability to move around is the same
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 8 of 20
8. Question
3 point(s)Enjoys normal play
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 9 of 20
9. Question
3 point(s)Night time activity is the same with no changes.
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 10 of 20
10. Question
3 point(s)Eager/willing to go for a walk
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 11 of 20
11. Question
3 point(s)No changes in breathing or panting patterns
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 12 of 20
12. Question
3 point(s)No discomfort behaviour (audible whining, grunting, yelping, groaning while sleeping / laying down or unusual licking)
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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-
Question 13 of 20
13. Question
3 point(s)Does not pace around the house
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 14 of 20
14. Question
3 point(s)Overall condition has not changed recently
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 15 of 20
15. Question
3 point(s)Ability to walk up and down the stairs is the same
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 16 of 20
16. Question
3 point(s)Willingness to run is the same
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 17 of 20
17. Question
3 point(s)Ability/willingness to jump (onto bed/couch, into vehicle) is the same
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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-
Question 18 of 20
18. Question
3 point(s)Rising from a down position is the same
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 19 of 20
19. Question
3 point(s)Ease of movement after a long rest is the same
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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Question 20 of 20
20. Question
3 point(s)Movement during and/or after exercise is the same (dragging feet, scuffing nails, lying or sitting down)
1 = I agree (this describes my pet)
2 = I see some changes
3 = I disagree (this does NOT describe my pet)
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I agree (this describes my pet) I disagree (this does NOT describe my pet)
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