Book a consultation

Tell me about your pet

Before we talk, I want a clear picture of your pet. These questions cover their diet, history, and daily life, so by the time we meet I already know the background and we can spend the session on what matters most. It takes a few minutes, and the more you share, the more you get out of it.

Is this your first consultation?

First consultation Follow-up

Which service?

Integrative consultation Custom balanced recipe

How many pets?

One pet Two pets

About you

Full name

Email (this is where your booking link and plan will arrive)

About your pet

Pet's name

Species

Breed

Age

Sex and neuter/spay status

Current diet (brand and type, how much, how often; main ingredients if home-cooked)

Current medications and supplements (write "none" if none; this makes sure nothing clashes)

Has your pet been seen by a vet for this issue?

Recent bloodwork or diagnosis relevant to this consult? (optional — summarize briefly; you can email documents after booking)

About your second pet

Pet's name

Species

Breed

Age

Sex and neuter/spay status

Current diet (brand and type, how much, how often; main ingredients if home-cooked)

Current medications and supplements (write "none" if none)

Has this pet been seen by a vet for this issue?

Recent bloodwork or diagnosis? (optional)

Your consultation

What would you like help with? (describe the concern, when it started, and anything you think is relevant)

Interested in herbal support? (optional)

What have you already tried? (optional)

Recipe details

Current weight in kg

Body condition

Activity level

Ingredients you already feed or would like to use (proteins, vegetables, etc.)

Ingredients to avoid feeding (allergies, intolerances, dislikes)

Does your pet have a diagnosed condition the diet should take into account? (optional)

Recipe details, second pet

Current weight in kg

Body condition

Activity level

Ingredients you already feed or would like to use

Ingredients to avoid feeding

Diagnosed condition the diet should take into account? (optional)

Your follow-up

Which pet is this about?

What has changed since we last spoke, and how did the plan go?

What would you like to focus on this session?

Before you book I understand this consultation supports my pet's health alongside my regular veterinarian and does not replace emergency or diagnostic care. I agree that what I enter here, including my pet's health details, is sent to Dr. Tiana Jaksa by email through the form service Web3Forms, is stored in her email account, and is used only to prepare and deliver my consultation. It is never sold or passed to anyone else. I can ask for it to be deleted at any time by emailing tianajaksa@gmail.com.

Anything else you would like me to know? (optional)

A packet of mushroom complex supplement powder

Where a supplement or herb helps, I name the specific product and the exact dose for your pet, and check it against anything they already take.

Tell me about your pet

Thank you!