At Safe Haven Veterinary Hospital, our mission is clear: Your Pet is Our Pet.

Pet Personality Quiz | Integrative Medicine

Owner Information:

Owner Name:(Required)
MM slash DD slash YYYY
Address:(Required)
If added, is the above additional contact number for an additional owner/guardian?

Patient Information:

Patient Name:(Required)
Species:(Required)

Sex:(Required)

Patient Traits | FIRE

Select all FIRE traits that apply to your pet:
Normals
Abnormals

Patient Traits | WOOD

Select all WOOD traits that apply to your pet:
Normals
Abnormals

Patient Traits | EARTH

Select all EARTH traits that apply to your pet:
Normals
Abnormals

Patient Traits | WATER

Select all WATER traits that apply to your pet:
Normals
Abnormals

Patient Traits | METAL

Select all METAL traits that apply to your pet:
Normals
Abnormals

This field is for validation purposes and should be left unchanged.

Original Form Created By: Chi Institute of Chinese Medicine 

Tel: 800-891-1986 | www.tcvm.com