My Pet’s Update To help me efficiently evaluate the prescription your pet has received, please monitor the following symptoms. Any or all of them may apply to your animal companion. Please keep all of the details in your journal, and send me a short update 24 hours before our appointment. Please always list % improvement, worsening or no change of these symptoms in your update. In some cases (like itching) it is also helpful to quantitate the symptom on a 1 to 10 scale. 1 being normal. 10 being excessive. For example. If your pet is constantly itching to the point of bleeding and unable to sleep, play, or enjoy any of life's normal activities, this would be a 10/10 itch level. A normal (occasional) itch level would be 1/10. Please restrict routine updates to one update/pet/week or just prior to your next appointment.What is the biggest problem or question that needs addressing during this appointment?(required)Overall (which includes every symptom and especially energy and mood) since your last appointment or new remedy is your pet:Better WorseUnchangedBEAM ScoreA BEAM score of 10/10 is 100% normal where a normal/low itch score is 0-1/10 (where a 10/10 would be constant itching)Your Name(required)Your Pet's Name(required)Email address(required)Last AppointmentLast Remedy(ies) Name(s), Potency & Dose(s)Next AppointmentOther medications and dosesDate(s) of dosingAny obvious change within hours to days after a dose?Yes NoIf yes please describe the responseEnergyBetter Worse Unchanged N/A Mood Better Worse Unchanged N/A Discharges Better Worse Unchanged N/A Discomfort Better Worse Unchanged N/A Itching12345678910N/A Length of Sleep (includes overnight waking)Better Worse Unchanged N/A Dreaming (how?)Better WorseUnchanged N/A Changing Sleep PositionBetter Worse Unchanged N/A Other InfoThirst (Amount & Frequency)Better Worse Unchanged N/AAppetiteBetter Worse Unchanged N/A Eating Unusual Foods (or indigestibles)Better Worse UnchangedN/A Temp Preference ChangeBetter Worse Unchanged N/A Seeking SolitudeBetter Worse UnchangedN/A ClinginessBetter Worse Unchanged N/A InteractivityBetterWorseUnchangedN/ADesire to ExerciseBetter WorseUnchanged N/AOther InfoAbility to ExcersiseBetterWorseUnchanged N/ALamenessBetterWorseUnchanged N/AEase of Lying DownBetterWorse Unchanged N/A Ease of Getting UpBetter Worse UnchangedN/A Stool Nature & FrequencyBetterWorse Unchanged N/A VomitingBetter Worse Unchanged N/ARespiratoryBetterWorse Unchanged N/A Vocalizing and Moving in SleepBetterWorse Unchanged N/A Other InfoPickinessBetter Worse Unchanged N/ARespiratory RateBetter Worse UnchangedN/A SneezingBetterWorse Unchanged N/A CoughingBetter Worse Unchanged N/ANew Symptoms, Notes Or QuestionsI am an All Access member of Holistic Actions!(required)YesNoWe look forward to you joining us at https://www.holisticactions.com/all-access-membership/Are you human?(required)SendThis field should be left blank
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