Volhard Dog Nutrition | Initial Consultation Form

Your Name *

First

Last

Your Email Address *

Email

Confirm Email

Location *

City, State, Country

Dog's Name *

Dog's Age *

Breed *

Sex *

Male
Female

Neutered/Spayed? *

Yes
No
Intact
Unknown

Brief History

Does your dog have any health concerns? *

Yes
No

Please describe your dog's health concerns:

How much does your dog weigh? *

lbs. or kg.

Is your dog at an ideal weight? *

Yes
No

What is your dog's goal weight?

Is your dog very active or a couch potato? Please describe your dog's activity level in detail.

What does your dog eat exactly? How much? How long on this food? Please provide as much detail as possible.

Do you give your dog any supplements or medications? *

Yes
No

Please list which ones:

Please describe your feeding philosophy and goals with home-prepared food for your dog. For example, do you want to feed it all the time? 50% with commercial food? Do you have a strong preference for or against raw or cooked, or grains or grain-free? Please include anything else you think may be pertinent.

What ingredients/foods does your dog like, and you are willing/able to provide? If you could list at least one meat and veggie here, that would be very helpful.

Are there any ingredients/foods that your dog cannot have (either due to dislike or an allergy/sensitivity)? Please list them here and the reason, or send via email if you have allergy test results.

What size batches of food would you like to make? *

Do you consider yourself new to fresh food for dogs? *

Yes
No
Somewhere in-between

Is there someone or group we can thank for the referral?

What are your goals for this consultation? *

Have you done a gut microbiome test?

Yes
No

Have you had a food sensitivity test done?

Yes
No

When was your dog last vaccinated?

What vaccines did your dog receive?

Is your dog on any prescribed medications? Please include the names of the medications and the reason why they were prescribed.

When did your dog last receive flea and tick preventative, heartworm preventative?

Please include the names of the specific treatment used.

If the dog eats Volhard already:

When did you start the dog on Volhard Dog Nutrition?

Which Volhard Dog Nutrition products do you use?

Is your dog on any medications, special shampoos, or supplements during the time he/she is on Volhard Dog Nutrition?

Yes
No

What types of medications, special shampoos, or supplements?

Additional Comments

Please use this space for any additional information you'd like to provide.

Current state

How is the dog today? Is the dog still eating Volhard Dog Nutrition? Any other foods or supplements?

How long has your dog been exhibiting symptoms? When did this start?

Upload a photo of your dog.

Click or drag a file to this area to upload.

Please share a picture of your dog with us. It helps us understand your dog better and any problems it might be facing.

In order to best assist you and your canine in this nutritional journey, we ask that you send any medical information you wish for us to review to info@volharddognutrition.com at least 72 hours prior to your scheduled appointment. Paperwork sent less than 72 hours before your consultation will require rescheduling your appointment.