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540-891-1275
stfrancisanimalhosp@hotmail.com
4624 Harrison Road, Fredericksburg, Virginia 22408
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Fear Free Questionnaire
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Patient Health History Form
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Fear Free Certified
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Pet Records App
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Purina Vet Direct
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Fear Free Questionnaire
As Fear Free certified professionals, we want to make your visit to our hospital the best it can be for you and your pet. If you have a few minutes please complete this online form prior to your visit so we can take both you and your pet's preferences for your first visit to our hospital into consideration.
Name
*
First
Last
Phone
*
Email
*
Appointment time and date
*
Pet's Name
How would you describe your pet's reaction to going to the veterinary hospital?
Eager and Excited
Subdued
Reluctant
Somewhere in between
Are there things you or your pet did not like during past veterinary visits?
Being weighed
Getting on the exam table
Having a procedure done
Being handled by veterinary staff
Walking through the clinic
How would you describe your pet around other animals and people, such as in the lobby area of the veterinary hospital?
Does your pet prefer:
Female veterinary professional
Male veterinary professional
It doesn't matter
What are your pet's favorite treats?
We encourage pet owners to bring some of these treats to make the visit a more comfortable experience for your pet.
Does your pet like to play with toys? If so what kinds?
We encourage pet owners to bring some of these toys to make the visit a more comfortable experience for your pet.
Has your pet ever been prescribed any medications to help with a visit to the veterinary hospital? If so, what medications were they and what sort of results did you experience?
A successful Fear Free visit starts at home and continues during your travel to our hospital. To help provide your pet with a pleasant experience on the way to the hospital our staff can follow up with preparation tips via email.
How does your pet travel in the car?
Carrier
Seatbelt
Loose
Does your pet show any reluctance to getting in the carrier or car?
Yes
No
How does your pet behave in the car?
Vocal
Barking
Whining
Restless
Pacing
Panting
Drooling
Trembling
Hiding
Any nausea, drooling or vomiting, with car travel?
Yes
No
Δ
New Clients
New Client Registration
Fear Free Questionnaire
New Client Promotions
Request an Appointment
Patient Health History Form
About
Meet the Team
Fear Free Certified
Community
Promotions
News Features
Careers
Contact
Services
Wellness
Vaccines
Diagnostic Testing
Surgery
Dentistry
Acupuncture
Pet Health
Pet Health Library
How-to Videos
Pet Health Checker
News
Blog
Patient Health History Form
Fear Free Questionnaire
Pet Records
Pet Records Portal
Pet Records App
Request a Refill
Payment Options
Pharmacy
Pharmacy
Purina Vet Direct
Contact
Location & Hours
Make an Appointment