Questionnaire nutritional assessment (anamnesis)

To create an individual feeding plan, I need some information about your pet.

Please fill in the questionnaire completely and as accurately and detailed as possible.

Furthermore, please send me two photos of the dog/cat: standing from the front and from above to vanessa.roessler@barf-beratung.at

By returning this questionnaire you are placing a binding order for a feeding plan! Many thanks!

* mandatory field

First and last name of the pet owner *

Address of the pet owner *

Email address *

Phone number *

Package *

Basis
Komfort

only when booking a feeding plan for healthy adult animals or seniors

Name of the dog/cat *

Age of the dog/cat *

Breed *

Gender *

male
female

What is the behaviour of the female dog during heat/pseudo pregnancy?

Is your animal still growing? *

If YES, expected final weight in kilograms?

Are there other animals in the household? *

YES, which animals?

How long does the dog/cat already lives with you? *

Where does the dog/cat comes from? *

Animal protection, breeder, private, ....

Weight in kg *

Since when does your animal get this food? *

How many grams of food does your animal get per day? *

Details of the current feed (brand, ingredients, supplements, etc.) : *

In case of BARF: Please indicate the approximate, previous division of vegetable to meaty products in %.

How is the eating behavior of the animal? *

Are there currently feeding problems (daintiness, sober vomiting, ....) ?

Does your pet get treats and/or dry chews? If so, which ones? How often? How much? *

How often does the animal poops per day? *

1x a day
2x a day
3x a day
more than 3 times a day

Does the poop sometimes contain undigested components? *

Is there occasionally blood in the poop? *

For BARF-feeding: Does your cat / dog occasionally have undigested bones in the poop? *

Are the anal glands of the animal regularly clogged? *

Why do you want to switch to BARF? *

How often / how long do you walk the dog? Is your cat going outdoor? *

How many hours a day does your animal spend outdoors in daylight? *

Background of this question is the supply of Vitamin D (UV radiation)

Do you do sports with your dog? If so, which sports? How many hours per week? *

Please describe the character of your pet *

Is the animal regularly dewormed? If so, with what? How often? When last? *

Known allergies / intolerances? *

If so, how were they identified? Multiple selection

exclusion diet
blood test
Bioresonance
Others

Does the animal show abnormalities in relation to the current food? If so, which ones? *

Is the animal chronically ill? If so, please describe the medical history. *

Please go into detail about the symptoms and the diagnosis which have already been made.

What medicines are taken regularly?

Please indicate the name of the medicine and dosage.

What are the existing results?

Blood tests, faecal profiles, diagnostic imaging (X-ray),...

What therapies/treatments are currently being carried out?

incl. physiotherapy and natural medicine approaches

What kind of nutrition plan would you like to have? *

Weekly plan (especially suitable for dogs over 10 kg)
Complete food (especially suitable for dogs up to 10 kg or cats)

weekly plan (daily changing components e.g. Monday 300 g beef + 170 g liver + 120 g vegetables) or a complete food (one-time preparation of a mixture of all components for several days or weeks, portioning and freezing of the individual complete meals - especially suitable for small dogs/cats)

How many meals should the cat / dog get per day? *

or cats please do not feed less than 2x a day!

Would you like to have a fasting day built into the feeding plan? If so, how often ? *

Fnot recommended for cats, possible for adult dogs, but not a must

Do you want to feed carbohydrates? *

not recommended for cats, possible for adult dogs, but not a must

Möchtest Du Milchprodukte füttern? *

Ja
Nein

not recommended for cats, possible for adult dogs, but not a must

Do you want to feed tripe? *

Not usual for cats, but certainly for dogs.

Can (sea) fish be integrated into the feeding plan? *

Should the cat / dog get bones? *

yes, mixed bones (e.g. chicken necks, beef brisket bone, lamb ribs)
yes, but only soft bones (e.g. only chicken, rabbit, duck carcasses or chicken necks)
no (in this case a calcium supplement is integrated in the feeding plan)

Please indicate in the remarks field if the bones should be minced.

Wishes for bone feeding

Do you not want to feed certain types of meat? *

How many days per week should any supplements be distributed over? *

If a large number of additives are used due to illness or if the owner wishes to keep them, it may not be possible to distribute them over a few days. This question does not apply to complete feeds.

Do you want to NOT feed certain additives (e.g. brewer's yeast, cod liver oil, herbs, algae)? If so, why? *

Are certain additives to be included in the plan? *

Remarks, comments, wishes:

What is the average fat content in % of the muscle meat you use? *

1-5 %
5-10 %
>15 %
no idea

BARF shops often sell quite lean meat, even chicken, game or rabbit are usually very lean.

May herbs be included in the feed plan if necessary? *

For healthy animals it is normally not necessary. In special phases of life (pregnancy, illness,...), specifically selected products can support the animal.

May healing mushrooms be included in the diet if necessary? *

For healthy animals it is normally not necessary. In special phases of life (pregnancy, illness,...), specifically selected products can support the animal.

Legal information about the order - as already stated in the general terms and conditions, there is an exclusion of liability for the feed plan. *

Yes, I would like to have a feeding plan based on the BARF principle and I am aware that some scientific requirements may not be met.

BARF feeding plans usually fail to meet the current scientific nutritional requirements for dogs and cats, according to the National Research Council (NRC), for some nutrients. This applies in particular to the zinc and manganese requirements for adult animals, and in addition to calcium and phosphorus requirements for growing animals. An actual deficiency of these nutrients can have health consequences for animals. It should be noted, however, that the above requirements take into account a nutrient bioavailability of only 10-50%, i.e. it is assumed that 50-90% of the nutrient ingested is not absorbed by the body. Therefore, livestock farmers operating BARF usually assume that a feed plan based on the structure of a prey animal will not cause deficiency despite the non-fulfilment of some NRC requirements, because they assume that the nutrients are better absorbed at BARF, i.e. the above mentioned bioavailability is higher than the NRC requirements.

The success of nutritional counselling depends on the correct implementation of the guidelines by the customer and cannot be guaranteed. For this reason, the application of the feeding plans is at the risk of the customer. The nutritionist cannot take responsibility for the implementation of the feeding plans. *

I have read and accepted this.

Confirmation of the general terms and conditions *

I have read the general terms and conditions and accept them.

Confirmation for phytotherapeutic and mykotherapeutic applications *

I am aware that phytotherapeutic and mykotherapeutic approaches are either scientifically nor orthodoxly recognised. In no case do they replace a visit to the vet!

Consent to the privacy policy *

I agree that my data may be used to process my order.

You can find further information and revocation notices in the privacy policy.

Information on the right of withdrawal *

For digital contents and services (calculation of the nutrition plan): I agree that the execution of the contract may begin before the end of the revocation period. I am aware that I lose my right of revocation by this agreement with the beginning of the execution of the contract.

Binding contract for the provision of services *

I confirm that I would like to order the above selected service (feeding plan, consulting, ...) bindingly and with costs.

Phone

Ernährungsberatung für Hunde und Katzen

Dein Weg zur artgerechten Fütterung von Hund und Katze

Questionnaire nutritional assessment (anamnesis)