Foster Animal Veterinary Check-in Questionnaire Please fill out this questionnaire to the best of your ability and provide as much detail as possible when answering these questions. If you note something as abnormal, please also let us know how long it has been an issue. If you have an urgent concern, please contact the foster team directly. Thank you! Animal’s name: * The name given by RSPCA WA Is the animal’s demeanour and behaviour normal? * Yes No Comments on demeanor and behaviour: Is the animal eating well? * Yes No Comments on diet: Which food are they eating, and how much? * Do they get treats, and how much? * If they have been prescribed medication(s) are they consuming them consistently as instructed on label? * Yes No n/a Comments on medication: Are faeces of normal consistency? Yes No Comments on faeces: Have they vomited at all? * Yes No Comments on vomiting: Have you noticed any limping? * Yes No Comments on limping: Have you noticed skipping on the hind legs? * Yes No Comments on skipping: Have you noticed any stiffness or reluctance to rise or walk? * Yes No Comments on stiffness and reluctance to move: Have you noticed excessive scratching or licking? * Yes No Comments on excessive licking and scratching: Which areas and how often? Have you noticed any bald patches, matting or hair thinning? * Yes No Comments on coat: Have you noticed head shaking or scratching at ears? Yes No Comments on head shaking and scratching at ears: * Is there any discharge from the ears or eyes? * Yes No Comments on discharge: Where is the discharge from? Have you noticed bad breath? * Yes No Comments on breath: Any coughing, sneezing or excessive panting? * Yes No Comments on coughing, sneezing or excessive panting: Any lumps or bumps? * Yes No Comments on lumps or bumps: Any discharge from vulva or penis? * Yes No Comments on discharge: How is your foster animal’s general health, wellbeing, and behaviour? * What long-term or short-term medications is your foster animal being given? * Have you found improvement or benefit in them being on medication? * Any other additional information you feel is necessary? Submit
