AVES Rat/Mouse Husbandry Questionnaire

Many health problems in rats/mice 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 ^*

Animal breed ^*

Animal color ^*

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

Animal DoB or age ^*

Is age accurate or estimate? ^*

How long have you owned your rat/mouse? ^*

Where did you obtain your rat/mouse? ^*

Do you own any other rats/mice/pets? ^*

HOUSING

Enclosure size and material: ^*

Where is the enclosure located? ^*

Does your pet spend time outside the enclosure? ^*

Furniture (list and describe any furnishing/toys if used): ^*

What is the enclosure flooring and substrate? ^*

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

DIET

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

Please enter the Rodent grain/seed/nut mix description/brand, amount fed and frequency ^*

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

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

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

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

Type of food dish: ^*

Water dish or sipper bottle, and frequency 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

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