Brachycephalic Obstructive Airway Syndrome (BOAS) Screening Form

Does your pet snore while sleeping? *

Always
Often
Sometimes
Never

Does your pet cough up foamy saliva? *

Always
Often
Sometimes
Never

Is your pet a noisy breather? *

Always
Often
Sometimes
Never

Does your pet faint? *

Does your pet ever gag while swallowing? *

Always
Often
Sometimes
Never

Does your pet have a blue tinge to their tongue and gums? *

Always
Often
Sometimes
Never

Does your pet regurgitate or vomit? *

Always
Often
Sometimes
Never

Has your pet's bark or meow changed, or do they ever lose their voice? *

Always
Often
Sometimes
Never

Is your pet resistant to exercise? *

Always
Often
Sometimes
Never

Is your pet especially sensitive to heat? *

Always
Often
Sometimes
Never

Have you observed your pet breathing heavily, including chest and stomach heaving? *

Always
Often
Sometimes
Never

Has your pet experienced significant weight gain? *

Always
Often
Sometimes
Never

Does your pet have difficulty sleeping, or do they prop their head up while resting? *

Always
Often
Sometimes
Never

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