Pet Obesity Data Form

1. Default Section

1. Breed
For mixed breeds, record the primary breed or if small (0-20 lbs. ideal weight), medium (20-50 lbs. ideal weight), large (50-80 lbs. ideal weight), or extra-large (over 80 lbs. ideal weight).

NOTE: Be sure each pet corresponds to the appropriate number (i.e. "Dog 1" is used to answer all subsequent questions pertaining to "Dog 1.")
2. Age
Round to nearest quarter year (0.25 – i.e. a dog 1 year 8 months would be recorded as 1.75). Of course, you may not know the exact age of a pet; round to the closest approximation possible.
3. Owner Assessment of Weight
Classify each pet’s weight as thin, normal, overweight or obese.

Be as honest as possible (your pet isn't reading this!).
Dog 1
Dog 2
Dog 3
Dog 4
Cat 1
Cat 2
Cat 3
Cat 4
4. Weight
Round to nearest tenth (0.1) of a pound.
5. Previous Medical Conditions
Record conditions such as arthritis, heart disease, periodontal disease, chronic skin infections, etc. We are primarily interested in any long-term, chronic or serious medical conditions.
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