Pet's History Questionnaire

Homeopathics are an energetic form of medicine.

The purpose of these questions is to help me truly understand your dog on an energetic and emotional level, as well as physically. It’s also important for me to explore possible triggers that may have contributed to the current issue. These can be physical or emotional events—for example:

Surgery, vaccination, or medication
Physical trauma or accident
Psychological stress such as grief, a death in the family, a household move, or new people entering/leaving the home

Pets often take on their humans’ stresses and illnesses. Sometimes an illness in your pet may be linked to a major event in your own life. That’s why it’s important to know about vet visits, illnesses, injuries, medications, vaccinations, and significant family events, especially those involving grief.

Please provide details in chronological order if possible. Previous veterinary records, especially vaccination and medication histories, are also very helpful.

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General & Background

Where did you get your pet from, and how old were they at the time?

Did they settle in well?

What vaccinations have they had, and when? (Please add each as a seperate line)

If you have the vet history, you can skip this section

What issues has your pet been to the vet for, and when?

The Presenting Issue

When did the current issue first start?

What do you think might have caused it?

Were there any changes of traumatic events (physical or emotional) around that time?

Physical Health

How is your animal's energy level? Has it increased, decreased, or stayed stable? Do they tire easily or show weakness or mobility issues?

Do they prefer warmth or cool? For example, do they pant and lie on cool tiles, or snuggle under blankets?

Do they like lying in the sun?

Any problems falling or staying asleep? Where do they sleep?

Do they snore or dream?

Any digestive changes? (Appetite, favourite foods, dislikes, intolerances to milk etc?)

What do their stools look like? Any constipation, diarrhoea, or flatulence?

How much water do they drink daily? Has this changed?

Do they vomit? If so, how often and when?

Emotional & Behavioural

How do they seem emotionally? Are they anxious, restless, relaxed, tense, depressed?

Are they reactive to other dogs or people? In what situations?

How do they behave when someone comes to the door?

What would they do if someone threatened you?

Do they run off if the gate is left open?

What activities do they enjoy? (Walks, beach, ball play, etc)

What do they do first thing in the morning when you let them out?

What is their general temperament? (Outgoing, laid-back, nervous, aggressive, aloof, etc.)

Do they seek out cuddles and pats from you, family members, or strangers?

Do they have fears or phobias? (e.g. thunder, fireworks, vacuum cleaner) Do they react immediately or hours beforehand?

How do they cope when left alone? Do they follow you around the house?

Are they comfortable being touched on the face, feet, etc.?

Social & Environmental

Are there other pets at home? Describe their relationship. Is there any jealousy, pushing in for attention, etc.

Do they display any sexual behaviours?

If your pet had a job, what would it be?

Medical & Diet

What medications, remedies, or preventatives (tick, flea, worm) are they currently on?

What other medicines or natural therapies have you tried?

What is their current diet? Please include everything they eat.

Final Notes

Please share anything else weird, wonderful, or unique about your pet that you think I should know.

File upload

Max. file size: 512 MB.

Please use the file upload option here to upload any photos, or your pets veterinary history