Geriatric Assessment
Is your pet a senior/geriatric… or, in other words a member of the “Over 50 Club”? Fill in this questionnaire to help us assess your pet's needs.
The age at which pets enter their senior or geriatric years is dependent on body weight. The table below was developed to help you determine if your pet is senior or geriatric. On it you can find the relative age in “human years” of your pet. Please circle your pets corresponding “human age”. For example, a 9 year old dog weighing 32Kg is 61 in “people” years (senior) while a 14 year old cat is 72 (geriatric).
| Adult Size (kgs) | ||||
|---|---|---|---|---|
| Age (Yrs) | 0-9 | 9-23 | 23-40 | >40 |
| 6 | 40 | 42 | 45 | 49 |
| 7 | 44 | 47 | 50 | 56 |
| 8 | 48 | 51 | 55 | 64 |
| 9 | 52 | 56 | 61 | 71 |
| 10 | 56 | 60 | 66 | 78 |
| 11 | 60 | 65 | 72 | 86 |
| 12 | 64 | 69 | 77 | 93 |
| 13 | 68 | 74 | 82 | 101 |
| 14 | 72 | 78 | 88 | 108 |
| 15 | 76 | 83 | 93 | 115 |
| 16 | 80 | 87 | 99 | 123 |
| 17 | 84 | 92 | 104 | |
| 18 | 88 | 96 | 109 | |
| 19 | 92 | 101 | 115 | |
| 20 | 96 | 105 | 120 | |
Please let us know what food your pet usually eats:
Please circle any of the below observations that apply to your ”Over 50“ pet. Your answers help us to better assess your pet’s health.
Difficulty Climbing Stairs
Lethargic
Decreased Appetite
Seizures
Limping or Stiffness
Increased Thirst
Weight Change
Coughing
Loss of Housetraining
Increased Urination
Vomiting
Skin and Haircoat Changes
Confusion or Disorientation
Incontinence
Diarrhea
Skin Lumps or Bumps
Itching
Constipation
Excessive Panting
Vision Problems
Changes in Sleeping Patterns
Bad Breath
Tremors or Shaking
Hearing Problems
Thank You!