Senior Pet Questionnaire

Quality-of-life questionnaires are an excellent tool for the veterinary team. This questionnaire can be completed in the waiting room or during consultation with a veterinary nurse. Use of a comprehensive history form paired with this quality-of-life questionnaire can greatly assist in beginning difficult conversations with owners of senior pets and managing geriatric patients. Many age-related diseases are manageable with correct and appropriate husbandry changes.

senior pet questionnaire screenshot

Download the PDF version of this client education handout, or modify the DOCX version for your veterinary hospital.

Note:  This form was adapted from a Geriatric Questionnaire by Today’s Veterinary Practice.

To cite this page:

McMenamin C. Senior pet questionnaire. LafeberVet web site. July 29, 2022. Available at