Hey, could you please complete my questionnaire for my epq, you only need to tick some boxes. Would really appreciate it. Thank you!!
If you can't tick the boxes just delete box and put 'x' there or whatever is easier for you.
Q1. Does your dog breathe loudly while awake at rest?
☐ Never ☐ Rarely (<once a week) ☐ Frequently (>once a week) ☐ Always
Q1.1. Have you noticed any high pitch noise rather than snorting?
☐ Never ☐ Yes ☐ Not sure
Q2. Does your dog breathe loudly while sleeping?
☐ Never ☐ Rarely (<once a week) ☐ Frequently (>once a week) ☐ Always
Q3. Does your dog breathe loudly during physical exercise?
☐ Never ☐ Rarely (<once a week) ☐ Frequently (>once a week) ☐ Always
Q3.1. Have you noticed any high pitch noise rather than snorting?
☐ Never ☐ Yes ☐ Not sure
Q3.2. Have you noticed inspiratory effort during exercise?
☐ Never ☐ Yes ☐ Not sure
Q4. Has your dog ever had difficulty breathing during exercise or when excited
in WINTER?
☐ Never ☐ Rarely (<once a week) ☐ Frequently (>once a week) ☐ Always
Details: __________________________________________________________________________
Q4.1. How much time does your dog need to recover after physical stress?
☐ up to 5 mins ☐ up to 10 mins ☐ up to 15 mins ☐ up to 20 mins
Q5. Has your dog ever had difficulty breathing during exercise or when excited
in SUMMER?
☐ Never ☐ Rarely (<once a week) ☐ Frequently (>once a week) ☐ Always
Details: __________________________________________________________________________
Q5.1. How much time does your dog need to recover after physical stress?
☐ up to 5 mins ☐ up to 10 mins ☐ up to 15 mins ☐ up to 20 mins
Q6. Does your dog have one of the following problems with sleeping?
Q6.1. Wake up a few times during sleep/being almost unable to sleep:
☐ Never ☐ Rarely (<once a week) ☐ Frequently (>once a week) ☐ Always
☐ Not sure
Q6.2. Only able to sleep with the chin in an elevated position:
☐ Never ☐ Rarely (<once a week) ☐ Frequently (>once a week) ☐ Always
☐ Not sure
Q6.3 Attempting to sleep in a sitting position:
☐ Never ☐ Rarely (<once a week) ☐ Frequently (>once a week) ☐ Always
☐ Not sure