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AVES Rabbit Husbandry Questionnaire

Many health problems in rabbits can arise from inappropriate husbandry. By filling out the information below, to the best of your ability, we can more accurately identify your rabbit’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

Desexed?

Yes

No

Animal DoB or age ^*

Is age accurate or estimate? ^*

How long have you owned your rabbit? ^*

Where did you obtain your rabbit? ^*

Do you own any other rabbits/pets? ^*

Is your rabbit vaccinated against Calicivirus? When was the last vaccine given? ^*

HOUSING

Does your rabbit free roam indoors? ^*

Does your rabbit free roam outdoors/in the yard? ^*

Is there exposure to wild rabbits/animals? ^*

Does your rabbit have a hutch? ^*

What is the hutch size and material? ^*

How many hours a day does your rabbit spend in the hutch? ^*

Where is the hutch located? ^*

What is the hutch flooring and substrate? ^*

How often is the hutch cleaned? ^*

Furniture/toys/chew toys/hides: ^*

Is your rabbit litter trained? ^*

If litter trained, describe the litter box provided: ^*

DIET

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

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

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

Please enter the grass, garden plants description, amount fed and frequency ^*

Please enter the vegetables 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: ^*

How is water provided?^*

Water dish/bowl

Sipper bottle

How often is the water changed? ^*

BEHAVIOUR

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

ADDITIONAL INFORMATION

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

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

Is your rabbit currently on any medication? ^*

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

AMENDMENT

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