Email

Name of Pet-Parent/Owner

Address

Contact Number

Name of Your Pet

Breed

Gender
FemaleMale

Age

What is the weight (kg) of your pet?

How many meals does your pet receive in a day?
1234

What is the body condition score of your pet? Choose the number corresponding to the below image.

12345

Where does your pet spend most of the time?
IndoorOutdoorIndoor & Outdoor

Any known allergies or food introlerances:

Food that your dog enjoys eating:

How active is your pet?
30-60 minutes/day60-120 minutes/day120 minutes/day

Please list below the Brands & Product names and Amounts of ALL foods, snacks, treats, dental hygiene products, rawhides and any other food that your pet is currently eating, including foods used to administer medicines —-NAME OF FOOD–FORM–AMOUNT–NUMBER–FED SINCE.
For example:
A. Royal Canine Maxi–Dry–1 cup–2x/day–Since Jan 2021
B. Chicken — Boiled –80 gms — 1x/day — May 2021
C. Himalayan Yak chews — Dry — 2 — 1/day — Aug2021

Do you provide any dietary supplements to your pet ? (For example ; vitamins, fatty acids, glucosamine or any other supplement)
YesNo

If yes, please list brands and amounts

Please specify if your pet has any medical history:

Past medical prescriptions, reports (if applicable) :

Please specify if any ongoing medical conditions/ disease:

Present medical prescriptions, reports (if applicable) :

Any dental abnormalities or disease
YesNo

How is the condition of skin or health of coat of your pet?
Dull & flakyRough to touchFrequent hair loss & itchingShiny & healthy

Share some current pictures of your dog:

Share some current videos of your dog:

Do you have any other inputs/concerns that you would like to share about your pet ?

How did you hear about us?
ChooseFacebookInstagramWhatsAppReference

If Whatsapp or Reference, please specify name

Thank you for your responses. We shall get back to you soon!