Boxer Breed Council - Health Survey

Boxer Health Survey

The information below is to be used to assess the health status of the Boxer breed over the past ten years.

Please fill in one form for each Boxer which has died in the last ten years. If you have already completed a paper based version of this form please DO NOT fill in this on-line version. If you wish to add anymore information please feel free to do so at the end of the form. The information will be analysed and updates will be given on this website, Boxer Quarterly, the dog press and journals

Date of Birth: (DD/MM/YYYY): Date of Death: (DD/MM/YYYY)

Cause of Death:

Did the dog have a tumour/cancer diagnosed at any time? YES
Did the dog have a tumour/cancer diagnosed at any time? NO

Where on the Body Was This:

Type of Tumour/Cancer if Known:

Did your dog have it's heart examined by a cardiologist (not your vet)? YES
Did your dog have it's heart examined by a cardiologist (not your vet)? NO

Heart Grade:

Did your own vet ever diagnose a heart murmur/condition for this dog? YES
Did your own vet ever diagnose a heart murmur/condition for this dog? NO

Age of Onset: Diagnosis:

Did your dog ever have epilepsy YES
Did your dog ever have epilepsy NO

Was your dog ever diagnosed as having a low thyroid level YES
Was your dog ever diagnosed as having a low thyroid level NO

Was your dog ever diagnosed as having Colitis YES
Was your dog ever diagnosed as having Colitis NO

Was your dog ever diagnosed with a kidney problem YES
Was your dog ever diagnosed with a kidney problem NO

Age of Onset: Diagnosis:

Was your dog vaccinated ANNUALLY for Distemper/Parvo etc YES
Was your dog vaccinated ANNUALLY for Distemper/Parvo etc NO

Was your dog on any long term veterinary treatment YES
Was your dog on any long term veterinary treatment NO

Which Treatment:

What Condition: