Name First Name Last Name Your pet's name * Please choose appropriate lifestyle option below: * Indoor only! Indoor and outdoor! How long has your cat been vomiting? * Less than 24 hours 1-2 days 3-7 days More than a week How often has your cat vomited in the past 24 hours? * 1-2 times 3.-5 times 6+ times What does the vomit look like? * Clear or frothy liquid Yellow or bile Food present Hairballs Blood-tinged (red or dark coffee-ground appearance) Have you noticed any of the following symptoms along with vomiting? * Diarrhea Lethargy or weakness Loss of appetite Increased thirst Increased urination Bloated or distended abdomen Drooling Coughing or sneezing Change in behavior or hiding Weight loss Have there been any changes in your cat’s diet recently? * Yes No If yes, please describe the new food, treats, or changes: Does your cat tend to eat too fast or throw up right after meals? * Yes No Is your cat currently on any medications or supplements? * Yes No If yes, please list them and when they were last given: Does your cat have access to any toxins or potential hazards? (e.g., plants, chemicals, small objects) * Yes No Unsure Has your cat had any history of vomiting or gastrointestinal issues in the past? Yes No Has your cat been diagnosed with any other medical conditions (e.g., kidney disease, hyperthyroidism)? Yes No Unsure Is your cat up to date on flea prevention and other regular veterinary care? Yes No Is there anything else you’d like to mention regarding your cat’s health or recent changes? Thank you!
