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Roncy Village Veterinary Clinic Toronto, Ontario

215 Roncesvalles Avenue
Toronto, Ontario M6R 2L6

416-538-8387
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Diet and Nutrition Questionnaire

Home » Diet and Nutrition Questionnaire

Help us help your pet! Diet and nutrition is a huge part of their well-being, both for preventative care and to assist with treatment of various medical conditions. Please take a few minutes to complete our Diet and Nutrition Questionnaire before your pet’s annual exam or courtesy nutritional consultation.

Diet & Nutrition Questionnaire

Name
First Last
Phone
Email
Your Pet's Name
Please describe your pet's current diet.
Brand/manufacturer? Formulation/flavour (name of the diet)? Dry, canned, or both?
How many treats does your pet get daily? What kind(s)?
Does your pet get cooked or raw food as treats or mixed into their food?
Please select all that apply.
- Cooked food as treats
- Cooked food mixed in with their meal
- Raw food as treats
- Raw food mixed in with their meal
Do you primarily feed your pet a home-prepared diet (cooked or raw)?
- Yes - cooked
- Yes - raw
- No
How long has your pet been on this diet?
Do you follow a recipe when preparing your pet's food?
- Yes
- No
Please type (or copy and paste) your recipe into the space below.
Do you give your pet any medications (including flea and tick prevention) or supplements (vitamins, fish oils, etc.)?
- Yes
- No
Please list the medications or supplements your pet receives in the space below.
Do you have any questions or concerns about your pet's weight?
- Yes
- No
What are your weight questions or concerns?
Do you have any nutrition questions or concerns that you would like to discuss during your visit?
- Yes
- No
What are your nutrition questions or concerns?
If there is not enough time at your vet's visit to fully discuss nutrition, would you be willing to come back for a complimentary nutritional consultation with one of our Veterinary Technicians?
- Yes
- No

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Monday 8am – 7pm
Tuesday 8am – 7pm
Wednesday 8am – 1pm & 3pm – 7pm
*CLOSED 1-3pm for training*
Thursday 8am – 7pm
Friday 8am – 7pm
Saturday 8am – 2pm
Sunday CLOSED

Temporary COVID-19 hours may apply – click here!

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