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Are you a pet owner? (If no, stop survey)
Yes No
 
 
 
Dogs
   
Cats
   
Other
   
 
 
How many times per year do you visit the veterinarian?
 
 
Once a week
 
Once a month
 
Once every three months
 
Once every six months
 
Once every year
 
Other
 

 
 

Does your pet get excited or become difficult to handle when going for a car ride?
Yes No
 
 

Does your pet get excited or become difficult to handle when visiting the veterinarian?
Yes No
 
 

Does your pet get excited or become difficult to handle when strangers visit you?
Yes No
 
 

Do you administer any of the following to your pet? (Check all that apply)
 
Analgesics
 
Sedative
 
Vaccination
 
Other
 

 
 

How often do you give medication to your animals? (Check all that apply)
 
1 shot every month
 
1 shot every week
 
1 shot every day
 
1 shot every few hours
 
1 pill every month
 
1 pill every week
 
1 pill every day
 
1 pill every few hours
 
Other
 

 
 

If you administer shots, how difficult or unpleasant is it for YOU?
Extremely Not at all
 
 

If you administer shots, how difficult or unpleasant is it for YOUR PET?
Extremely Not at all
 
 

If you administer pills, how difficult or unpleasant is it for YOU?
Extremely Not at all
 
 

If you administer pills, how difficult or unpleasant is it for YOUR PET?
Extremely Not at all
 
 

How do you feel about your or your vet administering shots or pills? (please check all of the following statements that are true for you)
 
It doesnÂ’t bother me at all
 
It bothers me a little
 
I prefer giving shots to pills
 
I prefer giving pills to shots
 
I wish that there was an easier way to administer medication
 
I wish that there was a less painful way to administer medication
 
Sometimes I avoid giving the medication because I donÂ’t like how it is done
 
Other
 

 
 

Rank order the following from 1 (most) to 5 (least) important to you when giving medication to your pet(s)?
Ease of use
Cost
Speed
Pain/discomfort
Certainty of delivery
 
 

If there was a different way (other than a shot or pill) to give medication, would this be valuable to you?
Low Value High Value
 
 

How comfortable would you be putting a small patch on your petÂ’s upper gum to quickly deliver medication (instead of a pill or shot)?
Not at all comfortable Very comfortable
 
 
 
How many children do you have living at home?
   
 
 

Where do you reside?
 
Home
 
Apartment
 
Other
 
 
 

What is your age group?
 
Under 18 years
 
18 to 25 years
 
26 to 35 years
 
36 to 50 years
 
51 to 65 years
 
66 and above
 
 

What is your marital status is?
 
Single
 
Married
 
Widowed
 
Other
 
 
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