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* 1. What is your pet's name?

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* 2. How old is your pet?

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* 3. Which of the following breeds best describes your dog? (Check all that apply)

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* 4. Which of the following breeds best describes your cat? (Check all that apply)

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* 5. Which, if any, of the following behavioral problems does your pet have? (Check all that apply)

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* 6. Which of the following behaviors does your pet typically exhibit when first meeting a stranger? (Check all that apply)

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* 7. Which, if any, of the following veterinary specialty services has your pet received? (Check all that apply)

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* 8. Do you have medical insurance for your pet, or not?

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