---

AVES Guinea Pig Husbandry Questionnaire

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

Where did you obtain your guinea pig? ^*

Do you own any other guinea pigs/pets? ^*

HOUSING

How is your guinea pig housed? ^*

Hutch/enclosure/room size and material? ^*

Where is your housing located? ^*

Does your guinea pig free roam? ^*

Does your guinea pig free roam in the backyard? ^*

If yes, is there exposure to wild animals? ^*

Furniture/toys/chew toys/hides: ^*

What is the hutch flooring and substrate? ^*

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

DIET

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

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

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

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

Please enter the Grass, Garden Plants description, amount fed and frequency ^*

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

Please enter any Other 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 guinea pig have any behavioural problems that concern you? ^*

ADDITIONAL INFORMATION

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

What is the primary reason for your guinea pig's vet visit? ^*

Is your guinea pig currently on any medication? ^*

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

AMENDMENT

Amendment Description *
Update estimate *
Signature

Line Thickness: 1.0×

Line Smoothness: 0.5

Clear

Get SVG

Full name *
Amendment date

SAVE

   Share a copy of this form with the pet owner Submit Form