Wisecracks Devon Rex
Annual Health Survey

We like to keep in touch with our kitten owners as part of our Breeding for Health programme. Ideally we would like to hear about your kitten and how they are getting on - especially with regard to their health - at least once a year. We will send out reminders from time to time.

Please complete this form. Click on Submit when ready to send. Taking the time to return this form, allows me to keep accurate health records, and work constantly towards improving the health and temperament of cats in my breeding program. THANK YOU!

Your Details (Please complete this section.)

Name

Email Address

Postal Address

Home Phone Number

Cell Phone


Vet's Info (only complete this section if this is your First Annual Health Survey or you have changed your Vet.)

Your Veterinarians Name

Name of Veterinary Clinic

Address of Veterinary Clinic

Phone Number


Pet Details (Please complete this section.)

Cats pet name

Cats Registered Name

How would you describe his/her adult coat?

Suede Patchy Woollen Wavy

Comments


Pet's Behaviour (only complete this section if this is your First Annual Health Survey or the cat's behaviour has changed in some way!.)

How would you describe your cat's personality?

Total Extrovert
Generally Friendly
Friendly with people s/he knows
Timid

Comments


Does your cat wander?

Belongs to the neighbourhood
Has a large territory
Sticks close to home
Prefers to stay inside

Comments


Does your cat mark his/her territory

Never
Outside only
Inside occasionally
Inside when stressed

Comments

If your cats marks territory, have you sought treatment?

Yes No

What treatment have you tried?

Has the treatment helped the behaviour?

Yes No

Has your cat maintained good health
if YES Please skip to the end and SUBMIT

Yes No

Medical Conditions

(only complete this section if this is your First Annual Health Survey or the cat has developed a medical condition in the past 12 months.)

Just complete the questions where the medical condition has changed.

Has s/he suffered from any skin complaints?

Yes No

Describe the rash, colour, area affected, amount of distress

Did it require treatment?

How successful was the treatment?

Not at all Minimally Excellent

Has s/he ever developed a cough?

Yes No

Comments

Did it require treatment?


Has s/he ever been diagnosed with a heart murmur?

Yes No

Details


Has s/he ever developed a limp

Yes No

Details


Has s/he ever suffered from an upper respiratory infection

Yes No

Details


Has s/he ever suffered from an eye infection

Yes No

Details


Has your cat ever suffered from a urinary problem?

Yes No
Urinary Infection
Bladder Stones
Haematuria
Other

Comments


Has your cat ever suffered from bad breath/teeth?

Yes No

Has s/he required treatment for this

Yes No

Was the cause

Bad Teeth Gingivitis Other

Details


Are there any health or behavior issues not mentioned you feel I need to know about?


Do you have any suggestions to improve this form and feedback?

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