-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
It is wise to seek your doctor's advise before beginning any health/fitness program.
Please check with vet before significantly changing your dog's exercise level.
-
Medical History
-
1. Have you ever had a heart attack, had any type of heart surgery, or have any heart disease?:
-
2. Do you have any other cardiovascular or pulmonary (lung) disease, asthma, or chronic bronchitis (other than allergies)?:
-
3. Have you ever had a history of diabetes, thyroid, kidney, or liver disease?:
-
4. Have you had any surgeries in the last 3 months?:
-
5. Are you pregnant (now or within the last 3 months)?:
-
-
6. Do you have high blood pressure?:
-
7. Do you have any seizure disorder?:
-
8. Do you have anemia?:
-
9. Do you have asthma?:
-
10. Do you have any physical conditions which cause pain (neck, back, knees, etc)?:
-
-
11. Are you currently being treated for any other medical condition OR are there any other conditions that may hinder your ability to exercise?:
-
-
-
-
Dog History
-
-
-
-
-
Fitness Background
-
Describe your regular physical activity or exercise program:
-
-
-
-
4. Intensity:
-
-
-
-
-
-