FECAL QUESTIONNAIRE ; Please enable JavaScript in your browser to complete this form.Client Name *FirstLastE-mail *Phone *Would you prefer we provide test results by email or phone? *EmailPhoneNo PreferencePatient Name *Patient Species *Have you seen any worms? If so, please describe:What is the consistency of the stool?How long has the problem been going on?Is your pet on Heartworm medication?Is there a history of allergies?What type of food do you feed?Have you changes food brand/type recently?Has he/she had anything to eat that is not part of the usual diet? If yes, describe:Has he/she been on any medications? If yes, please list:Is this a recheck to make sure the problem has been eradicated?YesNoWhen was the sample collected?NameSUBMIT