Cattle Health Assessment Form
Please complete this form to assess and record the health status of individual cattle.
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor Name
*
First Name
Last Name
Animal Identification (Ear Tag or ID Number)
*
Breed
*
Please Select
Holstein
Jersey
Angus
Hereford
Other
Sex
*
Male
Female
Age (in months)
*
General Health Assessment
*
Excellent
Good
Fair
Poor
Vital Signs and Symptom Assessment
*
Rows
Normal
Abnormal
Not Assessed
Temperature
1
2
3
Respiration Rate
4
5
6
Pulse Rate
7
8
9
Appetite
10
11
12
Coughing
13
14
15
Nasal Discharge
16
17
18
Lameness
19
20
21
Diarrhea
22
23
24
Vaccination Status
*
Up to date
Overdue
Unknown
Recent Treatments or Medications (if any)
Additional Notes or Observations
Submit Assessment
Should be Empty: