Georgina’s Kitchen – Holistic Wellness & Nutrition Since 2016

Help Us with A Survey

Name Of Pet Parent *

Phone Number *

Email Address *

Name Of Dog *

Breed Of Dog *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Does Your Dog Have Health Issues *

Brief Description *

Diet - Rotational or Single Food? *Fillers (example grain, oats, barley, millets, sweet potato, ragi, wheat, corn, etc...)

Please specify *

Treats/ chews *

Please specify *

Vaccine Status *

Please specify *

Antibiotic Exposure *

Please specify *

Disease History *

Please specify *

Grooming Frequency *

Please specify *

Grooming products used *

Please specify *

Tick and Flea Chemical Exposure *

Please state the name of the tick preventative that you are using. *

Please state if you have noticed any side effects after administration of the above mentioned tick and flea preventatives. *

Probiotics Usage *

Please specify *

Age *

Personality - Anxiety? Stress? *

Please specify *

Allergies/ Intolerance *

Please specify *

Environment - Apartment (Limited Exposure)? Outings? Home with access to soil and plants? *

Please specify *

Water *

Please specify *

Deworming *

Please specify *

Neutered v/s Intact *

Please state if you have noticed any health issues in your dog after neutering. *E.g. Obesity, incontinence

Additional comments if any

Help Us with A Survey

Speedy 7-Day Shipping You Can Trust

We deliver across India for all our products.

Kits are shipped within 1–2 business days.

Rating 4.9/5 from verified customers

Holistic Wellness & Nutrition Since 2016

Help Us with A Survey

Login

Register