Symbah Shih Tzu

Cat Health Checklist

Cat 's Name



1. Has your cat’s weight changed unexpectedly recently?

  • My cat has lost interest in food and is losing weight
  • My cat is being fed the same amount but is losing weight
  • My cat is eating the same amount but is gaining weight
  • My cat is eating more and gaining weight
  • My cat’s weight has not changed recently

2. Have you noticed any recent changes in your cat’s water consumption?

  • My cat seems to be thirstier and drinks more water
  • My cat appears to drink less water than before
  • My cat drinks about the same amount of water as always

3. Have you noticed any of the following characteristics in your cat’s stool?

  • Nothing unusual
  • Fresh blood and/or mucus
  • Black, tarry color
  • Rice-like white specks on stool that sometimes move

4. Have you noticed any changes in your cat’s urination habits?

  • Nothing unusual
  • My cat urinates more frequently than before
  • My cat seems to strain to urinate
  • My cat’s urine is dark
  • My cat urinates in inappropriate places

5. How would you describe the inside of your cat’s ears?

  • Normal (no discharge, skin smooth, mild pleasant odor)
  • Waxy (brown discharge from the ear)
  • Skin rough and dry in the ear
  • Skin moist and red with an unpleasant odor in the ear

6. Does your cat seem to be scratching excessively in any of the following areas?

  • Around the ears
  • All over the body
  • Around the anal area
  • My cat scratches only occasionally

7. How would you describe your cat’s skin?

  • Smooth, flesh-colored
  • Areas of red marks, bumps, or scales

8. Is excessive grooming and/or hair loss a problem in your cat?

  • Yes
  • No

9. Does your cat have any of the following breathing problems? (check all that apply)

  • A honking "cough"
  • Wheezing
  • Cat snores loudly
  • Panting
  • None of the above

10. How often do you take your cat to the veterinary clinic (not including emergencies)?

  • Twice a year
  • Annually
  • Every few years
  • Rarely or never

11. Is your cat on heartworm prevention?

  • Yes
  • No

12. When was the last time you took a stool sample to your veterinary clinic for examination?

  • Within the past year
  • More than a year ago

13. Has your cat received a dewormer in the last year?

  • Yes
  • No

14. Is your cat on a flea control treatment?

  • Yes
  • No

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