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AVES Fish Husbandry Questionnaire

Many health problems in fish can arise from inappropriate husbandry. By filling out the information below, to the best of your ability, we can more accurately identify your fish'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 fish? ^*

Where did you obtain your fish? ^*

Do you own any other fishes/pets? ^*

HOUSING

Enclosure/tank size and material: ^*

Water depth and volume in litres: ^*

Tank substrate: ^*

Aeration: ^*

Temperature

What is the water temperature? ^*

How is the temperature measured? ^*

Is it measured continuously or intermittently? ^*

Heat

How is heating provided? ^*

Is heating thermostatically-controlled? ^*

Water

Type of filter: ^*

Is the filter cleaned? If so, how often and how? ^*

Water change (% and frequency): ^*

Is a water conditioner used for top-ups? ^*

Is the water tested? If so, how often and which parameters are tested? ^*

WATER QUALITY TESTING: Please enter OBTAINED READINGS

▢ Not tested

▢ pH ^*

▢ Ammonia ^*

▢ Nitrite ^*

▢ Nitrate ^*

▢ Other parameters ^*

Is salt added to your tank? ^*

Are there any other water additives that are regularly added to your fish’s tank? ^*

Were any over-the-counter medications added to your fish’s tank in the last 2 months? ^*

Plants:

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

DIET

What do you feed your fish and how often? ^*

BEHAVIOUR

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

ADDITIONAL INFORMATION

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

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

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

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