Pet Weight Questionnaire

Owner*

First Last

Email*

Phone Number*

Pet Name:*

1. I am aware of the health risks to my pet if he or she is overweight.*

2. I think that my pet’s health would improve if he or she lost weight.*

3. My pet’s need for weight loss has been on my mind.*

4. I have started working on my pet’s weight, but would like some help.*

5. I am concerned that my pet has a weight problem, but my family is not.*

6. I may be part of my pet’s weight problem because I can’t resist giving treats.*

7. I have tried everything to help my pet lose weight, but nothing works.*

8. I wish I had more ideas about how to solve my pet’s weight problem.*

9. I am willing to monitor my pet’s food intake*

10. I am willing to do whatever it takes to help my pet lose weight.*