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AVES Lizard Husbandry Questionnaire

Many health problems in lizards can arise from inappropriate husbandry. By filling out the information below, to the best of your ability, we can more accurately identify your lizard’s health problem/s.

CLIENT DETAILS

First name ^*

Last name ^*

Email ^*

Phone ^*

Address ^*

ANIMAL DETAILS

Animal name ^*

Animal species ^*

Select Dog Cat Bird Guinea Pig Reptile Rabbit Horse Other

Animal breed ^*

Animal color ^*

Animal gender (e.g. male, female, unknown) ^*

Select Female Male

Animal DoB or age ^*

Is age accurate or estimate? ^*

How long have you owned your lizard? ^*

Where did you obtain your lizard? ^*

Do you own any other lizards/pets? ^*

HOUSING

Enclosure size and material (eg. glass, acrylic): ^*

Substrate material: ^*

Temperature

What device/s is/are used to measure temperature? ^*

Is it measured continuously or intermittently? ^*

Basking spot temp (ºC): ^*

Hot end temp (ºC): ^*

Cool end temp ( ºC): ^*

Night temp (ºC): ^*

Heat

How is heat provided? (type of globe, heating mat, other) ^*

Is heating thermostatically controlled? ^*

UV

How is UV light provided? (type of light/brand, intensity, frequency changed) ^*

What is the day/night cycle? ^*

Are there any other light sources? ^*

Does your lizard get taken outside in the sun? ^*

Furniture (describe types and material of furniture, branches, rocks, hides, etc): ^*

How is humidity provided? Is it measured? ^*

Do you soak lizard? If yes, how often? ^*

How often is the enclosure cleaned and with what? ^*

DIET

Please enter the Insects description/brand, amount fed and frequency ^*

Are insects gut-loaded? If so, with what? ^*

Please enter the Other invertebrate prey (eg. snails) description/brand, amount fed and frequency ^*

Please enter the Whole vertebrate prey (specify type) description/brand, amount fed and frequency ^*

Please enter the Vegetables/fruit description, amount fed and frequency ^*

Please enter the Native vegetation description, amount fed and frequency ^*

Please enter the supplements description/brand, amount fed and frequency ^*

Please enter any others description/brand, amount fed and frequency ^*

Type of food dish (number, size, material): ^*

Water dish size, water source and frequency changed: ^*

BEHAVIOUR

Does your lizard have any behavioural problems that concern you? ^*

ADDITIONAL INFORMATION

If there are any other important aspects of your lizard’s husbandry, please note them here: ^*

When did your lizard last shed? ^*

What is the primary reason for your lizard’s vet visit? ^*

Is your lizard currently on any medication? ^*

If possible, please bring photos of your lizard’s housing. Thank you. We look forward to meeting you soon. AVES

AMENDMENT

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