Please complete this questionnaire (for each cat) to help us determine if your cat may be eligible for screening for the BRAVO! Feline Diabetes Study.

Once you’ve completed and submitted the form, please do not proceed until you are contacted by us regarding your cat’s eligibility. We will be in touch within 1-2 working days with instructions on next steps and possibly scheduling an appointment.

If you are unable to submit the questionnaire online, call us at 800-969-2094 and we’ll be happy to complete it for you over the phone.

Please enter your zip code to locate the participating Study Investigator near you:

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If your cat is enrolled, you may be eligible to receive up to $500 in credits to spend at your cat's veterinary hospital.*

Cat owner information

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Email addresses will not be sold or used for any purposes outside of the BRAVO! study

Information on your cat

Unfortunately, based on your response it appears your cat does not currently qualify to participate in this study. Should you have questions, you may call us at 800-969-2094.

We can only consider cats that have been diagnosed by a veterinarian and have a blood glucose level of 270 or above. If your cat receives a diagnosis from a veterinarian, you can then resubmit this form. Thank you for your interest in this study.

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Unfortunately, based on your response it appears your cat does not currently qualify to participate in this study. Should you have questions, you may call us at 800-969-2094.

Ketoacidosis?
Unfortunately, based on your response it appears your cat does not currently qualify to participate in this study. Should you have questions, you may call us at 800-969-2094.
Hyperthyroidism?
Unfortunately, based on your response it appears your cat does not currently qualify to participate in this study. Should you have questions, you may call us at 800-969-2094.
Heart failure?
Unfortunately, based on your response it appears your cat does not currently qualify to participate in this study. Should you have questions, you may call us at 800-969-2094.
Liver failure?
Unfortunately, based on your response it appears your cat does not currently qualify to participate in this study. Should you have questions, you may call us at 800-969-2094.
Cancer?
Unfortunately, based on your response it appears your cat does not currently qualify to participate in this study. Should you have questions, you may call us at 800-969-2094.

Unfortunately, based on your response it appears your cat does not currently qualify to participate in this study. Should you have questions, you may call us at 800-969-2094.

Unfortunately, based on your response it appears your cat does not currently qualify to participate in this study. Should you have questions, you may call us at 800-969-2094.

Your cat may not be eligible, please discuss with the investigator.

Your cat’s veterinarian

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*CAT OWNER CREDIT: If your cat is enrolled and you are eligible for a credit, then your cat's veterinarian will need to complete a W-9 and Payment Acknowledgement Form so that your veterinary hospital can receive a payment of up to $500 which you can then spend for goods and services there. Please ask your veterinarian to fax these 2 forms to (919) 293-0203.

**Note that some medications may not be administered within 14 days of study participation. Please review any medications your cat is currently receiving with the Study Investigator to be certain there are no concerns.

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