Topics

Email This Page Email This Page

Food Observation Report

What is your dog's breed?


How old is your dog?  Please provide years and months.  (example: 3 years, 4 months)


What is your dog's gender?



Is your dog spayed/neutered?



How much does your dog weigh? (In Lbs. / Ounces) (example 14 lbs., 8 oz.)


How active is your dog?





Does your dog have any existing health issues?  If YES, please also check next to the entry box, type a brief description of the health issue and tell us at what age those issues were first detectable.






About which single food item do you wish to log this observation? (example: Beef) (Another question will ask about other foods that your dog may have eaten with this item.)


What other food(s) were consumed by your dog with the observation you just reported?


How long after consuming the reported food did you make this observation?






During the 4 hour period leading to this observation, did your dog have access to fresh water?




During the 24 hour period leading to this observation, what other foods did your dog consume?


During the 24 hour period leading to this observation did your dog consume any supplements? (Vitamins, Herbs, or other supplements) If YES, please also check next to the input box, then type a description of the supplements and the quantity your dog consumed.




Is your dog currently undergoing any medical or dental treatment program?



When was your dog's last veterinary examination?