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AVES Axolotl Husbandry Questionnaire

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

Where did you obtain your axolotl? ^*

Do you own any other axolotls/pets? ^*

HOUSING

Enclosure/tank size and material: ^*

Water depth and volume in litres: ^*

Tank substrate: ^*

Temperature

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

Is it measured continuously or intermittently? ^*

What is the water temperature in Celsius? ^*

Do you use a water chiller? ^*

Water

Type of filter: ^*

How often is the filter cleaned? ^*

What is the filter cleaned with? ^*

How often is water change done? ^*

What percentage of water is taken out? ^*

WATER QUALITY TESTING: Please enter OBTAINED READINGS

▢ Not tested

▢ pH ^*

▢ Ammonia ^*

▢ Nitrite ^*

▢ Nitrate ^*

▢ Other parameters ^*

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

Have any over-the-counter medications or water additives been added to your axolotl’s tank in the last 2 months? ^*

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

Are there live fish or plants in the tank?

DIET

Which of the following do you feed your axolotl (provide description/brand, frequency and amount fed)? ^*

Invertebrates (eg. worms)

Whole prey (eg. fish)

Pellets

Frozen foods

Supplements

Other

BEHAVIOUR

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

ADDITIONAL INFORMATION

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

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

Is your axolotl currently on medications?

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

AMENDMENT

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