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Canine Mobility Questionnaire
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* Indicates required question
Please list your first & last name as well as your pet's name:
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Your answer
Does your pet limp or have a change in gait?
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Your answer
Do they use the stairs? Has this changed recently?
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Your answer
How do they rise from a resting position? Has this changed?
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Your answer
Describe your pets exercise regimen? Any changes?
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Your answer
Has their activity level changed?
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Your answer
Do they tire easily? Lying around more?
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Your answer
Do they appear less eager to take walks? Has their walks shortened?
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Your answer
How is their sleeping behavior? Is this different from before? Are they frequently adjusting themselves to be more comfortable?
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Your answer
Are they avoiding hard surfaces or flooring?
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Your answer
What is their play behavior? Are they less interested in playing with family members, humans or animals?
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Your answer
Do they struggle getting in or out of the car or up and down from furniture?
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Your answer
Any changes in bathroom habits? Difficulty getting into position?
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Your answer
Do you have any other concerns about their behavior?
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Your answer
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