Rat Personality Profile
Please take the time to answer the following questions completely and honestly. This form enables us to know more about your pet so that we may place them in the best possible home.
Today's date
/
Month
/
Day
Year
Date
Owner's name
*
First Name
Last Name
Owner's email
*
example@example.com
Animal name
*
Age/Date of birth
*
if unknown, please approximate
Breed
*
Color
*
Distinguishing marks
*
Gender
*
Male
Neutered Male
Female
Spayed Female
If this rate is an unspayed female, has she been exposed to a male rat within the last two months?
Yes
No
Veterinarian name
*
Veterinarian phone number
*
Please enter a valid phone number.
Why are you surrendering this rat?
*
Where did you get this rat?
*
Pet store
Breeder
Shelter
Other
If from a shelter, which shelter?
Name and location
How long have you owned this rat?
*
Has this rat ever bitten and broke skin?
*
No
Yes
Why did they bite?
What would provoke this rate to bite?
Has this rat lived with children?
*
Yes
No
What ages?
How did this rat react to the children in the home?
Friendly
Affectionate
Playful
Shy
Nervous
Scared
Tolerant
Agressive
Please check off animals this rat lived with:
*
None
Dogs
Cats
Other rats
How many dogs?
How many cats?
How many rats?
Did the rats live in the same cage?
Yes
No
How did this rat react to other animals in the home?
Friendly
Playful
Shy
Nervous
Scared
Tolerant
Agressive
Does this rat get along with:
Dogs
Cats
Other rats
Children
Teenagers
Men
Women
How does this rat react to:
Being brushed ?
*
Good
Tolerates
Nervous
Aggressive
Nails trimmed ?
*
Good
Tolerates
Nervous
Aggressive
Being picked up ?
*
Good
Tolerates
Nervous
Aggressive
Struggles to get down
Handled by strangers ?
*
Good
Tolerates
Nervous
Aggressive
Cage cleaning ?
*
Good
Tolerates
Nervous
Aggressive
Being removed from cage ?
*
Good
Tolerates
Nervous
Aggressive
What parts of this rat's body is sensitive to touch?
*
Head
Ears
Back
Paws
Tail
Belly
Does your rat use a litter box?
*
No
Yes
Type of box & litter?
Does this rat have any special medical problems?
*
Yes
No
Describe any conditions or medications
How does s/he react to taking medications?
What type of food does this rat eat?
Pellet
Hay
Pellet brand
Hay brand
What are this rat's favorite veggies?
How many times a day is this rat fed?
*
What time(s) of day day is this rat fed?
*
What type of treats does this rat enjoy?
*
Other food given
Where is this rat housed?
*
Indoors
Garage
Basement
Barn
Rat is housed in a
*
Cage
Own room
X-pen
Does this rate live in a cage with little exercise?
*
Yes
No
Did this rat live as a house pet with lots of exercise?
*
Yes
No
What are this rat's favorite toys/games/activities?
How would you describe this rat most of the time? (check all that apply)
*
Friendly
Affectionate
Social
Playful
Likes to be held
Adventurous
Very active
Confident
Quiet
Shy
Scared
Nervous
Agressive
Is this Rat afraid of ? (check all that apply)
*
Loud noise
Thunder
Vacuum
Dogs
Cats
Other animals
Vet
Cage
Children
Men
Women
Strangers
Other
Please write one or two sentences describing your rat
Please upload ONE photo of your rat
Browse Files
Drag and drop files here
Choose a file
Cancel
of
By signing, I certify all information is true and correct to the best of my knowledge.
*
Preview PDF
Submit
Should be Empty: