Feline Urinary Problems??
Pet Name: _______________________
Please answer the following questions to the best of your ability:
Is your cat using the litterbox?
yes
no If no, where is your cat urinating? _______________________
Does your cat defecate in the litterbox?
Is your cat:
spraying
yes
no
squatting?
Have you noticed any straining?
yes
no
Have you seen blood in the urine?
yes
no
When did you first notice the problem and how did it present itself?
__________________________________________________________________________________________
Is your cat drinking more water than usual?
yes
no
How many pets are in your household? inside: cats ____ dogs___
outside: cats ___ dogs ___
How many litterboxes do you have? __________ On the back of this page please draw a rough approximate floor plan
with location of litterboxes. If you are filling this out from home, pictures are always appreciated.
Which kind of litter do you use?
clumping
non-clumping
Brand name: _______________________
How often do you scoop the box?
Daily
2x daily
Weekly
How often do you clean all the boxes?
Daily
2x daily
Weekly
Did you recently change litter brands?
yes
no
Do the litter boxes have covers?
yes
no
Do the litter boxes have liners?
yes
no
Have you recently moved?
yes
no
Any new stresses in your life, such as a new pet, new baby, new job schedule, etc.?
yes
no If yes, please explain within reason _______________________________________________
Is your cat displaying other signs?
Weight loss
vomiting
diarrhea
Listlessness
Appetite loss
Other ________________________
What do you feed your cat? __________________________________________ Canned % ____ Dry % _____
Which medication form do you prefer to give your cat?
Liquid or
Tablets