Pack Formulation Intake NOTE: There is a "Save Draft" option all the way at the bottom. Please consider saving occasionally especially if you have to walk away. This form works best on a computer rather than mobile. If you have to use a mobile device, do not let your device go to sleep or you will loose all data. If you need help accessing your draft, please email me at hello@tailoredtummyco.com *Check to confirm you read!Name *Email Address *City *State/Province *ZIP / Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabwePreferred method of communication *EmailText (only available to US clients)Phone *How many dogs will be included? *Choose one2345About Your Dog #1Dog's Name *Breed *Birthday *Sex *Male- NeuteredMale- IntactFemale- SpayedFemale- IntactPlease add three pictures of your dog. 1 of their face, 1 from above their back to view top of their head to top of their butt, and 1 from the side to see the entire length of their body. For more clarification, you can look up a BCS chart *Drag and Drop (or) Choose FilesHow long have you owned your dog? *When was there last vet visit? What was it for? *Current Weight *Units *LBKGWhen was this weight taken? *How would you rate their BCS? *1- Ribs, spine and hip bones are visible from a distance. No discernible body fat and an obvious loss of muscle mass.2- Ribs, spine and hip bones are easily visible. No palpable body fat and minimal loss of muscle mass.3- Ribs can be easily felt and may be visible with no palpable fat. Top of the spine is visible and hip bones may also be prominent.4- Ribs can be easily felt with minimal fat covering. Waist is easily noted when viewed from above. An “abdominal tuck” is also present5- Well-proportioned. Ribs can be easily felt without excess fat covering. Waist can be observed behind the ribs when viewed from above. Abdominal tuck is present.6- Ribs can be felt through a slight excess fat covering. Waist is visible from above, but not prominent. Abdominal tuck is present.7- Ribs are difficult to feel under a heavy fat covering. Noticeable fat deposits over the lower back and base of the tail. Waistline is absent or barely visible and abdomen may appear obviously rounded or saggy.8- Ribs can only be felt with heavy pressure. Significant fat deposits over the lower back and base of the tail. Waist and abdominal tuck are both absent. Obvious abdominal distention may also be present.9- Ribs cannot be felt under a very heavy fat covering. Large fat deposits are seen over the neck, chest, spine and base of the tail. Waist and abdominal tuck are both absent. Obvious abdominal distention and a broad, flat back may also be present.Tell me about their daily activity such as how much activity they get, what type of activity, etc. *How would you describe their digestive health? Select all that apply *No concernsBile VomitingRegurgitationBloatingBurpingNoisy StomachGasDiarrheaConsitpationClogged Anal GlandsMucous coated stoolOff color stoolOtherPlease give as much detail as possibleHow would you describe their skin and coat health? Select all that apply. *Shiny/ Soft CoatRough CoatDull CoatHot SpotsBald SpotsRed/ Inflamed SkinItchy SkinDiscolored/ Smelly EarsExcessive SheddingOtherPlease give as much detail as possible about any concerns you haveAttach photos of any skin/ coat concerns you haveDrag and Drop (or) Choose FilesHow are their teeth *Clean, no tartarSome tartar buildupSignificant tartar buildupMissing teethCracked teethVet has recommended cleaning/ extractionOtherDo you brush their teeth? What do you use to brush their teeth? *Do they have any previous or existing DIAGNOSED medical condition(s)? *YesNoWhat is the diagnosis, when was it and what treatment was done? *Are there any other health concerns that have not been formally diagnosed by a veterinarian or specialist? *YesNoPlease describe *Please list any medications your dog is taking including doseDoes your dog have any food sensitivities/ intolerances? *YesNoWhat are they and how were they diagnosed? *Does your dog have any environmental allergies? *YesNoWhat are they and how were they diagnosed? Have you tried any treatments? *If you have done allergy testing, upload here or email to me!Drag and Drop (or) Choose FilesIs your dog on any flea and tick and/or heartworm preventative? *YesNoPlease list brand and frequency *Do you have any other pets in your home that they interact with in any capacity? *Do they have any emotional/ behavioral concerns? *About Your Dog #2Dog's Name *Breed *Birthday *Sex *Male- NeuteredMale- IntactFemale- SpayedFemale- IntactPlease add three pictures of your dog. 1 of their face, 1 from above their back to view top of their head to top of their butt, and 1 from the side to see the entire length of their body. For more clarification, you can look up a BCS chart *Drag and Drop (or) Choose FilesHow long have you owned your dog? *When was there last vet visit? What was it for? *Current Weight *Units *LBKGWhen was this weight taken? *How would you rate their BCS? *1- Ribs, spine and hip bones are visible from a distance. No discernible body fat and an obvious loss of muscle mass.2- Ribs, spine and hip bones are easily visible. No palpable body fat and minimal loss of muscle mass.3- Ribs can be easily felt and may be visible with no palpable fat. Top of the spine is visible and hip bones may also be prominent.4- Ribs can be easily felt with minimal fat covering. Waist is easily noted when viewed from above. An “abdominal tuck” is also present5- Well-proportioned. Ribs can be easily felt without excess fat covering. Waist can be observed behind the ribs when viewed from above. Abdominal tuck is present.6- Ribs can be felt through a slight excess fat covering. Waist is visible from above, but not prominent. Abdominal tuck is present.7- Ribs are difficult to feel under a heavy fat covering. Noticeable fat deposits over the lower back and base of the tail. Waistline is absent or barely visible and abdomen may appear obviously rounded or saggy.8- Ribs can only be felt with heavy pressure. Significant fat deposits over the lower back and base of the tail. Waist and abdominal tuck are both absent. Obvious abdominal distention may also be present.9- Ribs cannot be felt under a very heavy fat covering. Large fat deposits are seen over the neck, chest, spine and base of the tail. Waist and abdominal tuck are both absent. Obvious abdominal distention and a broad, flat back may also be present.Tell me about their daily activity such as how much activity they get, what type of activity, etc. *How would you describe their digestive health? Select all that apply *No concernsBile VomitingRegurgitationBloatingBurpingNoisy StomachGasDiarrheaConsitpationClogged Anal GlandsMucous coated stoolOff color stoolOtherPlease give as much detail as possible *How would you describe their skin and coat health? Select all that apply. *Shiny/ Soft CoatRough CoatDull CoatHot SpotsBald SpotsRed/ Inflamed SkinItchy SkinDiscolored/ Smelly EarsExcessive SheddingOtherPlease give as much detail as possible about any concerns you have *Attach photos of any skin/ coat concerns you haveDrag and Drop (or) Choose FilesHow are their teeth *Clean, no tartarSome tartar buildupSignificant tartar buildupMissing teethCracked teethVet has recommended cleaning/ extractionOtherDo you brush their teeth? What do you use to brush their teeth?Do they have any previous or existing DIAGNOSED medical condition(s)? *YesNoWhat is the diagnosis, when was it and what treatment was done? *Are there any other health concerns that have not been formally diagnosed by a veterinarian or specialist? *YesNoPlease describe *Please list any medications your dog is taking including doseDoes your dog have any food sensitivities/ intolerances? *YesNoWhat are they and how were they diagnosed? *Does your dog have any environmental allergies? *YesNoWhat are they and how were they diagnosed? Have you tried any treatments? *If you have done allergy testing, upload here or email to me!Drag and Drop (or) Choose FilesIs your dog on any flea and tick and/or heartworm preventative? *YesNoPlease list brand and frequency *Do you have any other pets in your home that they interact with in any capacity? *Do they have any emotional/ behavioral concerns? *About Your Dog #3Dog's Name *Breed *Birthday *Sex *Male- NeuteredMale- IntactFemale- SpayedFemale- IntactPlease add three pictures of your dog. 1 of their face, 1 from above their back to view top of their head to top of their butt, and 1 from the side to see the entire length of their body. For more clarification, you can look up a BCS chart *Drag and Drop (or) Choose FilesHow long have you owned your dog? *When was there last vet visit? What was it for? *Current Weight *Units *LBKGWhen was this weight taken? *How would you rate their BCS? *1- Ribs, spine and hip bones are visible from a distance. No discernible body fat and an obvious loss of muscle mass.2- Ribs, spine and hip bones are easily visible. No palpable body fat and minimal loss of muscle mass.3- Ribs can be easily felt and may be visible with no palpable fat. Top of the spine is visible and hip bones may also be prominent.4- Ribs can be easily felt with minimal fat covering. Waist is easily noted when viewed from above. An “abdominal tuck” is also present5- Well-proportioned. Ribs can be easily felt without excess fat covering. Waist can be observed behind the ribs when viewed from above. Abdominal tuck is present.6- Ribs can be felt through a slight excess fat covering. Waist is visible from above, but not prominent. Abdominal tuck is present.7- Ribs are difficult to feel under a heavy fat covering. Noticeable fat deposits over the lower back and base of the tail. Waistline is absent or barely visible and abdomen may appear obviously rounded or saggy.8- Ribs can only be felt with heavy pressure. Significant fat deposits over the lower back and base of the tail. Waist and abdominal tuck are both absent. Obvious abdominal distention may also be present.9- Ribs cannot be felt under a very heavy fat covering. Large fat deposits are seen over the neck, chest, spine and base of the tail. Waist and abdominal tuck are both absent. Obvious abdominal distention and a broad, flat back may also be present.Tell me about their daily activity such as how much activity they get, what type of activity, etc. *How would you describe their digestive health? Select all that apply *No concernsBile VomitingRegurgitationBloatingBurpingNoisy StomachGasDiarrheaConsitpationClogged Anal GlandsMucous coated stoolOff color stoolOtherPlease give as much detail as possible *How would you describe their skin and coat health? Select all that apply. *Shiny/ Soft CoatRough CoatDull CoatHot SpotsBald SpotsRed/ Inflamed SkinItchy SkinDiscolored/ Smelly EarsExcessive SheddingOtherPlease give as much detail as possible about any concerns you have *Attach photos of any skin/ coat concerns you haveDrag and Drop (or) Choose FilesHow are their teeth *Clean, no tartarSome tartar buildupSignificant tartar buildupMissing teethCracked teethVet has recommended cleaning/ extractionOtherDo you brush their teeth? What do you use to brush their teeth? *Do they have any previous or existing DIAGNOSED medical condition(s)? *YesNoWhat is the diagnosis, when was it and what treatment was done? *Are there any other health concerns that have not been formally diagnosed by a veterinarian or specialist? *YesNoPlease describe *Please list any medications your dog is taking including doseDoes your dog have any food sensitivities/ intolerances? *YesNoWhat are they and how were they diagnosed? *Does your dog have any environmental allergies? *YesNoWhat are they and how were they diagnosed? Have you tried any treatments? *If you have done allergy testing, upload here or email to me!Drag and Drop (or) Choose FilesIs your dog on any flea and tick and/or heartworm preventative? *YesNoPlease list brand and frequency *Do you have any other pets in your home that they interact with in any capacity? *Do they have any emotional/ behavioral concerns? *About Your Dog #4Dog's Name *Breed *Birthday *Sex *Male- NeuteredMale- IntactFemale- SpayedFemale- IntactPlease add three pictures of your dog. 1 of their face, 1 from above their back to view top of their head to top of their butt, and 1 from the side to see the entire length of their body. For more clarification, you can look up a BCS chart *Drag and Drop (or) Choose FilesHow long have you owned your dog? *When was there last vet visit? What was it for? *Current Weight *Units *LBKGWhen was this weight taken? *How would you rate their BCS? *1- Ribs, spine and hip bones are visible from a distance. No discernible body fat and an obvious loss of muscle mass.2- Ribs, spine and hip bones are easily visible. No palpable body fat and minimal loss of muscle mass.3- Ribs can be easily felt and may be visible with no palpable fat. Top of the spine is visible and hip bones may also be prominent.4- Ribs can be easily felt with minimal fat covering. Waist is easily noted when viewed from above. An “abdominal tuck” is also present5- Well-proportioned. Ribs can be easily felt without excess fat covering. Waist can be observed behind the ribs when viewed from above. Abdominal tuck is present.6- Ribs can be felt through a slight excess fat covering. Waist is visible from above, but not prominent. Abdominal tuck is present.7- Ribs are difficult to feel under a heavy fat covering. Noticeable fat deposits over the lower back and base of the tail. Waistline is absent or barely visible and abdomen may appear obviously rounded or saggy.8- Ribs can only be felt with heavy pressure. Significant fat deposits over the lower back and base of the tail. Waist and abdominal tuck are both absent. Obvious abdominal distention may also be present.9- Ribs cannot be felt under a very heavy fat covering. Large fat deposits are seen over the neck, chest, spine and base of the tail. Waist and abdominal tuck are both absent. Obvious abdominal distention and a broad, flat back may also be present.Tell me about their daily activity such as how much activity they get, what type of activity, etc. *How would you describe their digestive health? Select all that apply *No concernsBile VomitingRegurgitationBloatingBurpingNoisy StomachGasDiarrheaConsitpationClogged Anal GlandsMucous coated stoolOff color stoolOtherPlease give as much detail as possible *How would you describe their skin and coat health? Select all that apply. *Shiny/ Soft CoatRough CoatDull CoatHot SpotsBald SpotsRed/ Inflamed SkinItchy SkinDiscolored/ Smelly EarsExcessive SheddingOtherPlease give as much detail as possible about any concerns you have *Attach photos of any skin/ coat concerns you haveDrag and Drop (or) Choose FilesHow are their teeth *Clean, no tartarSome tartar buildupSignificant tartar buildupMissing teethCracked teethVet has recommended cleaning/ extractionOtherDo you brush their teeth? What do you use to brush their teeth? *Do they have any previous or existing DIAGNOSED medical condition(s)? *YesNoWhat is the diagnosis, when was it and what treatment was done? *Are there any other health concerns that have not been formally diagnosed by a veterinarian or specialist? *YesNoPlease describe *Please list any medications your dog is taking including doseDoes your dog have any food sensitivities/ intolerances? *YesNoWhat are they and how were they diagnosed? *Does your dog have any environmental allergies? *YesNoWhat are they and how were they diagnosed? Have you tried any treatments? *If you have done allergy testing, upload here or email to me!Drag and Drop (or) Choose FilesIs your dog on any flea and tick and/or heartworm preventative? *YesNoPlease list brand and frequency *Do you have any other pets in your home that they interact with in any capacity? *Do they have any emotional/ behavioral concerns? *About Your Dog #5Dog's Name *Breed *Birthday *Sex *Male- NeuteredMale- IntactFemale- SpayedFemale- IntactPlease add three pictures of your dog. 1 of their face, 1 from above their back to view top of their head to top of their butt, and 1 from the side to see the entire length of their body. For more clarification, you can look up a BCS chart *Drag and Drop (or) Choose FilesHow long have you owned your dog? *When was there last vet visit? What was it for? *Current Weight *Units *LBKGWhen was this weight taken? *How would you rate their BCS? *1- Ribs, spine and hip bones are visible from a distance. No discernible body fat and an obvious loss of muscle mass.2- Ribs, spine and hip bones are easily visible. No palpable body fat and minimal loss of muscle mass.3- Ribs can be easily felt and may be visible with no palpable fat. Top of the spine is visible and hip bones may also be prominent.4- Ribs can be easily felt with minimal fat covering. Waist is easily noted when viewed from above. An “abdominal tuck” is also present5- Well-proportioned. Ribs can be easily felt without excess fat covering. Waist can be observed behind the ribs when viewed from above. Abdominal tuck is present.6- Ribs can be felt through a slight excess fat covering. Waist is visible from above, but not prominent. Abdominal tuck is present.7- Ribs are difficult to feel under a heavy fat covering. Noticeable fat deposits over the lower back and base of the tail. Waistline is absent or barely visible and abdomen may appear obviously rounded or saggy.8- Ribs can only be felt with heavy pressure. Significant fat deposits over the lower back and base of the tail. Waist and abdominal tuck are both absent. Obvious abdominal distention may also be present.9- Ribs cannot be felt under a very heavy fat covering. Large fat deposits are seen over the neck, chest, spine and base of the tail. Waist and abdominal tuck are both absent. Obvious abdominal distention and a broad, flat back may also be present.Tell me about their daily activity such as how much activity they get, what type of activity, etc. *How would you describe their digestive health? Select all that apply *No concernsBile VomitingRegurgitationBloatingBurpingNoisy StomachGasDiarrheaConsitpationClogged Anal GlandsMucous coated stoolOff color stoolOtherPlease give as much detail as possible *How would you describe their skin and coat health? Select all that apply. *Shiny/ Soft CoatRough CoatDull CoatHot SpotsBald SpotsRed/ Inflamed SkinItchy SkinDiscolored/ Smelly EarsExcessive SheddingOtherPlease give as much detail as possible about any concerns you have *Attach photos of any skin/ coat concerns you haveDrag and Drop (or) Choose FilesHow are their teeth *Clean, no tartarSome tartar buildupSignificant tartar buildupMissing teethCracked teethVet has recommended cleaning/ extractionOtherDo you brush their teeth? What do you use to brush their teeth? *Do they have any previous or existing DIAGNOSED medical condition(s)? *YesNoWhat is the diagnosis, when was it and what treatment was done? *Are there any other health concerns that have not been formally diagnosed by a veterinarian or specialist? *YesNoPlease describe *Please list any medications your dog is taking including doseDoes your dog have any food sensitivities/ intolerances? *YesNoWhat are they and how were they diagnosed? *Does your dog have any environmental allergies? *YesNoWhat are they and how were they diagnosed? Have you tried any treatments? *If you have done allergy testing, upload here or email to me!Drag and Drop (or) Choose FilesIs your dog on any flea and tick and/or heartworm preventative? *YesNoPlease list brand and frequency *Do you have any other pets in your home that they interact with in any capacity? *Do they have any emotional/ behavioral concerns? *Diet History Dog #1What type of diet are they currently eating? Select all that apply. *KibbleCannedDehydrated/ Air DriedFreeze DriedCommercial Raw/ CookedHomemade Raw/ CookedOtherPlease share brand, product line, flavor, etc. of every food they are eating currently. *Ex. Wellness Complete Health GF Small Breed Turkey, Chicken and Salmon instead of Wellness Small BreedPlease list every ingredient used in their current diet with the weights of each fed. If the diet consists of rotating ingredients, please give a few different examples of typical meals. Be sure to also specify what protein each ingredient is from. Please be as specific and detailed as possible. *Ex. 10g chicken liver instead of 1 piece liver.How many days does the recipe above last? *How much are they eating per day? *If homemade, please give serving sizes in weights instead of measuring cups.How long have they been eating this diet? *Please list brand, name, dose and how much is given daily of any supplements you add. If you are feeding a homemade diet, I need to know every non-food item added to the diet. Links are useful as well *What other foods have they eaten in the past? Please include as much detail as you remember. *Is there anything else I need to know about their diet history?Diet History Dog #2What type of diet are they currently eating? Select all that apply. *KibbleCannedDehydrated/ Air DriedFreeze DriedCommercial Raw/ CookedHomemade Raw/ CookedOtherPlease share brand, product line, flavor, etc. of every food they are eating currently. *Ex. Wellness Complete Health GF Small Breed Turkey, Chicken and Salmon instead of Wellness Small BreedPlease list every ingredient used in their current diet with the weights of each fed. If the diet consists of rotating ingredients, please give a few different examples of typical meals. Be sure to also specify what protein each ingredient is from. Please be as specific and detailed as possible. *Ex. 10g chicken liver instead of 1 piece liver.How many days does the recipe above last? *How much are they eating per day? *If homemade, please give serving sizes in weights instead of measuring cups.How long have they been eating this diet? *Please list brand, name, dose and how much is given daily of any supplements you add. If you are feeding a homemade diet, I need to know every non-food item added to the diet. Links are useful as well *What other foods have they eaten in the past? Please include as much detail as you remember. *Is there anything else I need to know about their diet history?Diet History Dog #3What type of diet are they currently eating? Select all that apply. *KibbleCannedDehydrated/ Air DriedFreeze DriedCommercial Raw/ CookedHomemade Raw/ CookedOtherPlease share brand, product line, flavor, etc. of every food they are eating currently. *Ex. Wellness Complete Health GF Small Breed Turkey, Chicken and Salmon instead of Wellness Small BreedPlease list every ingredient used in their current diet with the weights of each fed. If the diet consists of rotating ingredients, please give a few different examples of typical meals. Be sure to also specify what protein each ingredient is from. Please be as specific and detailed as possible. *Ex. 10g chicken liver instead of 1 piece liver.How many days does the recipe above last? *How much are they eating per day? *If homemade, please give serving sizes in weights instead of measuring cups.How long have they been eating this diet? *Please list brand, name, dose and how much is given daily of any supplements you add. If you are feeding a homemade diet, I need to know every non-food item added to the diet. Links are useful as well *What other foods have they eaten in the past? Please include as much detail as you remember. *Is there anything else I need to know about their diet history?Diet History Dog #4What type of diet are they currently eating? Select all that apply. *KibbleCannedDehydrated/ Air DriedFreeze DriedCommercial Raw/ CookedHomemade Raw/ CookedOtherPlease share brand, product line, flavor, etc. of every food they are eating currently. *Ex. Wellness Complete Health GF Small Breed Turkey, Chicken and Salmon instead of Wellness Small BreedPlease list every ingredient used in their current diet with the weights of each fed. If the diet consists of rotating ingredients, please give a few different examples of typical meals. Be sure to also specify what protein each ingredient is from. Please be as specific and detailed as possible. *Ex. 10g chicken liver instead of 1 piece liver.How many days does the recipe above last? *How much are they eating per day? *If homemade, please give serving sizes in weights instead of measuring cups.How long have they been eating this diet? *Please list brand, name, dose and how much is given daily of any supplements you add. If you are feeding a homemade diet, I need to know every non-food item added to the diet. Links are useful as well *What other foods have they eaten in the past? Please include as much detail as you remember. *Is there anything else I need to know about their diet history?Diet History Dog #5What type of diet are they currently eating? Select all that apply. *KibbleCannedDehydrated/ Air DriedFreeze DriedCommercial Raw/ CookedHomemade Raw/ CookedOtherPlease share brand, product line, flavor, etc. of every food they are eating currently. *Ex. Wellness Complete Health GF Small Breed Turkey, Chicken and Salmon instead of Wellness Small BreedPlease list every ingredient used in their current diet with the weights of each fed. If the diet consists of rotating ingredients, please give a few different examples of typical meals. Be sure to also specify what protein each ingredient is from. Please be as specific and detailed as possible. *Ex. 10g chicken liver instead of 1 piece liver.How many days does the recipe above last? *How much are they eating per day? *If homemade, please give serving sizes in weights instead of measuring cups.How long have they been eating this diet? *Please list brand, name, dose and how much is given daily of any supplements you add. If you are feeding a homemade diet, I need to know every non-food item added to the diet. Links are useful as well *What other foods have they eaten in the past? Please include as much detail as you remember. *Is there anything else I need to know about their diet history?New Diet FormulationWhat are some of your goals with this new diet? *Please select the option(s) that best fits your wishes for the diet(s) *I want the diet to be as simple as possible, even if that means more supplements are usedI want as few supplements included as possible even if that means a more difficult to prep recipeI want as few supplements included as possible even if that means the recipe is above my given budgetI don't have a preference, I just want the best diet for my dogHow many recipes did you purchase? *Select all that apply *I want the recipes to be as different as possibleI want the recipes to be single protein if possibleI don't mind if the recipes share some ingredientsWhat type of diet do you prefer? *Veggies and carbohydrates will always be cookedRawCookedCombinationOtherAre there certain foods/ ingredients that you want to be cooked vs. raw? *Do you want any commercial foods included as part of the diet? *YesNoWhat do you have in mind with this? Are there certain foods you want included?How often do you want to prepare meals/ batches? Take freezer space and time commitment into account. *DailyWeeklyEvery 2 weeksEvery monthOtherI like to include some carbohydrates to the diets because they provide energy to the dog. Without them, they have to use amino acids from protein for energy rather than to repair and rejuvenate tissues. Are you okay with this? *More information can be found here:https://tailoredtummyco.com/do-dogs-benefit-from-carbohydrates/YesNoMore Info PleaseDo you wish to include raw bones in the diet? *Certain medical conditions will require boneless diets. They will not be included for any dog with kidney or heart disease and some GI diseases. If you select 'yes' and I believe your dog would do best without them, I will discuss this with you.YesNoMore info pleaseDo you have a preference for whole or ground bones? *WholeGroundNo PreferenceAre you able to grind bones yourself or will you need to source ground bones? *Please list any supplements you have on hand or those that you would like to use. This can include human vitamin/ mineral supplements. Please list brand, product name and dosage. (ex. Solgar Chelated Zinc 22mg tablets). Alternatively, you can add links to the specific products.Reports will include links to all supplements to purchase through iHerb. Are you okay with using this website to source ingredients? *YesNoWhat websites would you prefer to use to source supplements? *What grocery stores do you typically shop at?I use this information to double check availability, help with sourcing and pricing when neededWhat is your budget (per month) for this diet?I do my best to stay under budget when possible. If you are sourcing from stores that don't have their prices available online, I may need you to relay prices if the budget is important.Ingredient AvailabilityPlease check ingredients that you can consistently purchase AND are within your budget. Not all of these will be used in the formulation but I will not use any ingredients that you either cannot get or those that are out of your budget. It will be frustrating to you if your recipe contains an ingredient that you find out you cannot access. Please do not check off any ingredients that you would prefer not to use or those that your dog does not like.Chicken *Chicken BreastChicken ThighChicken HeartChicken LiverChicken GizzardChicken FootChicken WingChicken DrumstickChicken NeckChicken EggDehydrated/ Freeze Dried Chicken LiverDehydrated/ Freeze Dried Chicken HeartDehydrated/ Freeze Dried Chicken GizzardsNoneTurkey *Ground Turkey 80/20Ground Turkey 85/15Ground Turkey 90/10Ground Turkey 93/7Turkey ThighTurkey BreastTurkey HeartTurkey GizzardTurkey LiverTurkey WingTurkey FootTurkey EggDehydrated/ Freeze Dried Turkey LiverDehydrated/ Freeze Dried Turkey GizzardNoneDuck/ Game Bird *Duck BreastGround DuckWhole DuckDuck LiverDuck HeartDuck GizzardDuck FootDuck WingDuck NeckDuck EggDehydrated/ Freeze Dried Duck HeartDehydrated/ Freeze Dried Duck LiverPhesantGuinea HenQuailQuail EggGooseGoose HeartGoose LiverGoose GizzardNoneBeef *Ground Beef 80/20Ground Beef 85/15Ground Beef 90/10Ground Beef 93/7Beef Top RoundBeef Bottom RoundBeef Eye RoundBeef KnuckleBeef ChuckBeef Stew MeatBeef Chuck TendersBeef HeartBeef LiverBeef KidneyBeef SpleenBeef TongueBeef LungBeef Green TripeBeef BrainBeef RibDehydrated/ Freeze Dried Beef LiverDehydrated/ Freeze Dried Beef HeartDehydrated/ Freeze Dried Beef SpleenDehydrated/ Freeze Dried Beef KidneyDehydrated/ Freeze Dried Beef LungNonePork *Pork LoinPork TenderloinPork ChopsPork CushionPork Boston ButtPork ShoulderPork KidneyPork SpleenPork LiverPork HeartPork BrainPork RibDehydrated/ Freeze Dried Pork SpleenDehydrated/ Freeze Dried Pork HeartNoneLamb *Ground Lamb 77/23Lamb LegLamb Loin ChopLamb ShoulderLamb HeartLamb LiverLamb TongueLamb SpleenLamb KidneyLamb BrainLamb RibDehydrated/ Freeze Dried Lamb LiverDehydrated/ Freeze Dried Lamb HeartDehydrated/ Freeze Dried Lamb SpleenNoneVenison/ Elk *Ground VenisonVenison LoinVenison Stew MeatVenison LiverVenison HeartVenison KidneyVenison RibGround ElkElk Stew MeatElk LiverElk HeartElk TongueElk LungElk KidneyNoneBison *Ground BisonBison Inside RoundBison TenderloinBison Stew MeatBison Eye RoundBison LiverBison KidneyBison HeartBison TongueNone"Exotic" Meats *Wild BoarRabbit MeatWhole RabbitRabbit LiverRabbit HeartKangarooHorseHorse HeartHorse KidneyHorse LiverNoneSeafood *Blue Mussels (Chilean)Green Lipped MusselsFresh Eastern OystersCanned Oysters (Pacific)Wild Caught SalmonFarmed SalmonCanned SalmonAtlantic MackerelCanned MackerelWild Caught CodFarmed CodFresh SardinesCanned SardinesWild Rainbow TroutFarmed Rainbow TroutNoneCarbohydrates *Varied fruits and vegetables are included in every recipe. I do not use legumes in recipes unless there are no other suitable options.QuinoaBuckwheatBarleyAmaranthSorghumMilletBrown RiceWhite RiceOatmealSweet PotatoButternut SquashAcorn SquashPumpkinTapiocaNoneOther *Cottage CheeseRicotta CheeseYogurtCoconut WaterBone BrothGoat MilkKefirNoneIf there are any ingredients that your dog particularly loves, please share here so I can be sure to include them. Additionally, if there are certain ones you would prefer to use over other ones, please let me know.If you have any online sources you wish to use to source ingredients, please list them here.Are you open to using online sources for harder to find ingredients such as organs? *YesNoIf anyone in your household has allergies to ingredients that need to be avoided, please list them here.eg. glutenHow experienced are you with homemade diets? How much detail do you want included in the report regarding preparation? *ConclusionIs there anything else you want me to know?How did you hear about me?Disclaimer and Assumption of Risk *By purchasing and using this formulation, you acknowledge that it has been created by a canine nutrition professional for use as a balanced, homemade diet. You understand and accept that all risks associated with feeding, preparing, and storing a home-prepared diet are your responsibility as the dog’s owner.Tailored Tummy Co. does not provide any guarantees or warranties, express or implied, regarding the formulation or its expected outcomes. It is solely your responsibility to determine whether this recipe is appropriate for your dog, based on their individual needs and in consultation with your veterinary care provider.If you choose to include raw meaty bones as part of the diet, you acknowledge and accept all associated risks, including but not limited to tooth fractures, gastrointestinal obstruction, or other injuries. Tailored Tummy Co. does not formulate using weight-bearing bones from large animals due to the increased risk of harm.You also understand that Ashlyn Van Buren, d/b/a Tailored Tummy Co., is not a veterinarian and that this service does not replace proper veterinary care. It is your responsibility to share relevant health information about your dog with both Tailored Tummy Co. and your veterinary team.Recipe Compliance and Support Policy *For the support period to remain valid, recipes must be prepared exactly as written. Tailored Tummy Co. cannot offer reformulations or continued support if it is determined that the recipe has not been followed accurately.Please note that substitutions, preparation errors, use of low-quality ingredients, or failure to disclose relevant health information may negatively impact results. Undisclosed medical conditions or deviations from the original formulation may also result in outcomes that differ from what was intended, and are not the responsibility of Tailored Tummy Co.Privacy and Intellectual Property Policy *All recipe amounts, custom formulation details, and documents provided by Tailored Tummy Co. are intended solely for your personal use and may only be shared with your dog’s veterinary professionals. Sharing this information with any other individual or entity without prior written consent is strictly prohibited.All recipes and formulations are the intellectual property of Tailored Tummy Co. They may not be reproduced, altered, distributed, published, or used for commercial purposes without express written permission.Any violation of this policy will result in the immediate termination of our working relationship and may result in further action as necessary to protect intellectual property rights.Refunds and Reformulations *Yes, I agree with the Refund and Reformulations PolicyPhoto Consent *I give permission for my dog’s photos to be used by Tailored Tummy Co. for marketing purposes, including social media posts and success stories. If this box is not checked, photos will only be included in your private formulation report and will not be shared publicly.SubmitSave as DraftPlease do not fill in this field.
