Halifax Vet Canine Mobility Assessment

Dog's Name

Owner's name

How is your dog's mobility in general?

If you have noticed the effects of ageing on your dog's mobility, how long have you been observing changes for?

To what degree does your dog show stiffness after a 'lie down'?

How well does your dog go UP and DOWN stairs?

How well does your dog jump IN and OUT of the car?

How well does your dog walk on slippery surfaces such as tiles or linoleum?

How well does your dog get UP after lying down on slippery surfaces such as tiles or linoleum?

Who limits the extent to which your dog exercises?

At exercise, how is your dog handled?

How has your cat's happiness changed over the past 6 months?

How active is your dog?

What is the effect of cold, damp weather on your dog's mobility?

How interested is your dog in exercising?

How does your dog interact with human family members and other pets?

Where does your dog sleep? Please describe bedding type and height off floor.

Have you noticed any other changes in your dog's behaviour over the past year?

Where does your dog sleep? Please state type of bedding and height off floor.