Rabbit 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.
Date
/
Month
/
Day
Year
Date
Owner's Name
*
First Name
Last Name
Owner's Email
*
example@example.com
Rabbit's Name
*
Age/Date of birth
*
Breed
*
if unknown, write "unknown"
Color(s)
*
Distinguishing marks
Gender
*
Male
Neutered Male
Female
Spayed Female
If this rabbit is an unspayed female has she been exposed to a male rabbit within the last two months ?
Yes
No
Veterinarian name & location
*
Veterinarian phone#
*
Please enter a valid phone number.
Why are you surrendering this rabbit to this shelter ?
*
Where did you get this rabbit ?
*
Pet store
Breeder
Shelter
Other
Which shelter ?
Name & location
How long have you owned this rabbit ?
*
Has this rabbit ever bitten and broken skin ?
*
Yes
No
Why ?
What would provoke this rabbit to bite ?
Has this rabbit lived with children ?
*
Yes
No
What ages ?
How did this rabbit react to the children in the home ?
Friendly
Affectionate
Playful
Shy
Nervous
Scared
Tolerant
Aggressive
Animals rabbit has lived with
*
None
Dog(s)
Cats(s)
Other rabbit(s)
Other
How did this rabbit react to other animals in the home ?
Friendly
Playful
Shy
Nervous
Scared
Tolerant
Aggressive
Does this rabbit get along with
*
Dogs
Cats
Other rabbits
Children
Teenagers
Men
Women
How does this rabbit react to being brushed ?
*
Good
Tolerates
Nervous
Aggressive
Reaction to nail trim ?
*
Good
Tolerates
Nervous
Aggressive
Reaction to being picked up ?
*
Good
Tolerates
Nervous
Aggressive
Struggles to get down
Reaction to being handled by strangers ?
*
Good
Tolerates
Nervous
Aggressive
Reaction to cage cleaning ?
*
Good
Tolerates
Nervous
Aggressive
Reaction to being removed from cage ?
*
Good
Tolerates
Nervous
Aggressive
What parts of this rabbit's body are sensitive to touch ? (select all that apply)
Head
Ears
Back
Paws
Tail
Belly
Does your rabbit use a litter box ?
*
Yes
No
What type of box and litter ?
Does this rabbit have any special medical problems/conditions ?
*
Yes
No
Describe condition and medications
How does s/he react to taking medication ?
What type of pellet food does this rabbit eat ?
*
What type of hay does this rabbit eat ?
*
What are this rabbit's favorite veggies ?
*
How many times a day is this rabbit fed ?
*
What time(s) of day is this rabbit fed ?
*
What type of treats does this rabbit enjoy ?
*
Other food given
Where is this rabbit housed ?
*
Indoors
Outdoors
Garage
Basement
Barn
This rabbit is housed in a
*
Cage
Own room
X-Pen
Outdoor hutch
Does this rabbit live in a cage with little exercise ?
*
Yes
No
Does this rabbit live as a house pet with lots of exercise ?
*
Yes
No
What are this rabbit's favorite toys/games/activities ?
*
How would you describe this rabbit most of the time ? (check all that apply)
*
Friendly
Affectionate
Social
Playful
Likes to be held
Adventurous
Very active
Confident
Quiet
Shy
Scared
Nervous
Aggressive
Is this rabbit afraid of ? (check all that apply)
*
Loud noise
Thunder
Vasuum
Dogs
Cats
Other animals
Vet
Cage
Children
Men
Women
Strangers
Other
Please write one or two sentences describing your rabbit
Please upload ONE photo of your rabbit
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