To fill out the form, in your browser click on Edit -select all, then copy. Click here and paste the form into the email, answer all the questions, attach a recent photo of your animal and email it to me. Return here to pay. If you have any difficulties filling in the form you can call me between 8 a.m. and 5 p.m UK time, call is free of charge wherever you are.

If you prefer to pay by cheque (UK residents only) print the form, complete and post to Nayana Morag, Pyrland Farm Cottage, Cheddon Rd, Taunton, TA2 9QX UK, enclosing a cheque for the appropriate amount payable to N. Morag.

Full assessment

ARE YOU OR YOUR ANIMAL PREGNANT OR TAKING MEDICATION? SOME ESSENTIAL OILS SHOULD BE AVOIDED IN PREGNANCY AND WITH CERTAIN MEDICINES SO PLEASE LET ME KNOW.

Date:

Owner’s details:

Name.

Contact number.

Postal Address.

e-mail

Animal's details:

Name......................................age............sex.........species…………..

breed........................used for..................................

Current Problem
What is the current problem, it's history and any treatment, current or past, that has been prescribed by a vet or other holistic practitioner.

 

LIFE HISTORY (the more the better)

 

MEDICAL HISTORY:

Respiratory.

Allergies?

Skin condition.

Coat condition.

Hoof condition

Back or other Structural problems?

Digestion (Slow? Fast? Easily upset?)

Worming history

Vaccination history

Reproductive health.

General health and any other relevant history.

 

LIFESTYLE.

Live in/out?

Where does it sleep (dogs)?

How much turn out/play time?

Diet. (please include everything you feed and when)

Attitude to food?

How much exercise?

 

PERSONALITY

Hierarchy position

Basic temperament

Attitude to life

Vices.

Unusual habits

Attitude to other animals

Attitude to humans

Attitude to work

What does it love most in life?

What does it hate most?

 

Five element questions. Yes or No Answers ONLY

Does it habitually have angry outbursts?

Is it often impatient ?

Does it enjoy a challenge?

Does this animal get panicky?

Can it get over-exuberant, especially in company?

Is it shy?

Does it get overly concerned or worry about others?

Is it emotionally needy?

Does it respond well to changes in routine?

Does it respect the boundaries of others?

Is it sensitive about its personal space?

Can it seem aloof ?

Is it trusting by nature?

Can it be fussy or demanding?

Does it ever give the impression of being ‘miles away’?

 

ABOUT YOU

What is your animal experience?

Have you had help training this animal, if so who with?

What attracted you to this particular animal (not the breed, the individual)?

What are your hopes and expectations from this animal?

What do you like most about this animal?

What do you like least about this animal?

What is your basic attitude to life

Is there any other information you think will be relevant?

Agreement: I understand that essential oils are not a replacement for veterinary care and it is illegal for anyone but a veterinarian to make a diagnosis in the U.K. so they should be your first port of call for health problems.

I agree to follow the instructions that will be sent to me, and use the oils only as taught. I understand that Nayana Morag is available to answer any questions that I might have and if I am in doubt I will contact her via email, phone or fax.

 

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